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However, chronically elevated cortisol can promote fat storage, impair immunity, and disrupt sleep, while sustained prolactin elevation can cause gynecomastia and reproductive effects in sensitive individuals

Furthermore, the presence of exendin-4 in the lizards venom may serve to impair prey metabolism, potentially causing lethargy or hypoglycemia, thereby aiding in prey capture

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For more on the science of metabolic hormones, check UC Davis white paper

Shared decision-making between the patient and their care team is indicated to decide whether to start, continue or discontinue GLP-1 therapy in the setting of a new diagnosis of NAION or in certain risk contexts, considering the individual patient characteristics and clinical scenario, the guidance article authors wrote

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