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They concluded that GLP-1 RA use is not associated with impaired semen parameters among diabetic men undergoing fertility evaluation.auajournals.org In other words, the men on GLP-1 therapy had similar sperm counts, motility, etc., as those not on the therapy, after controlling for other factors

These categories matter in compliance: These go through Phases I-III clinical trials, get reviewed, and are approved for specific indications and doses