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2013 Aug 21;19(31):5174-7

According to NICE guidance , investigations may include blood tests (full blood count, inflammatory markers, specific infection serology), ultrasound imaging, or referral for specialist assessment if concerning features are present

Other research indicates peptides such as retatrutide may affect a persons sexual drive

Deterioration of the incretin effect leads to a decreased ability to secrete insulin and hyperglycemia, which may exacerbate insulin resistance [14]