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For injectable GLP-1 medications, diarrhoea generally does not significantly impact absorption since

In treatment of Type 2 diabetes, these treatments have demonstrated a 5-10% weight loss in patients

Therefore, I consider them an adjunct therapy to improve the underlying metabolic environment before fertility treatment, rather than a primary fertility medication

The needle passes through air containing bacteria, through the rubber which may have surface contaminants, and into a protein-rich solution that bacteria love to colonize

Endogenous toll-like receptor ligands and their biological significance

AAOPM training covers these protocols in detail