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Active pharmaceutical ingredients such as anastrozole (an aromatase inhibitor) or clomiphene citrate (a selective estrogen receptor modulator (SERM)) are sometimes used in male patients to manage secondary hypogonadism while preserving fertility

Too much water spreads the tablet contents across a larger area of the stomach, diluting that localised effect

More serious but less common adverse effects require careful monitoring

The choice between semaglutide and Zepbound should be made in consultation with healthcare providers, taking into account the patients unique medical history and weight loss goals

The catch is that the oral form of semaglutide comes with strict requirements