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Lancet 404:20772093

10.1016/j.ypmed.2013.09.023

Diabetes Obes Metab 19:142147

Those with moderate-to-severe renal impairment, acute pancreatitis history, or active diabetic retinopathy should discuss any schedule changes with their provider, as timing adjustments may subtly affect symptom emergence or medication interactions

The same table raises hypoglycemia risk, cardiovascular stress from testosterone's effect on heart rate and blood pressure, and gastrointestinal symptoms that may worsen