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The second tier, represented by Bader et al

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Recent social media discussions also reflect concerns about GLP-1 receptor agonists affecting mood and mental health, indicating the need for ongoing vigilance and assessment [51]

In humans, this potential reduction in sex drive is confounded by GLP-1 RAs beneficial effects of weight loss and correction of diabetes on individuals' mental and body image of themselves, and improvements in erectile dysfunction related to treatment of diabetes, which all contribute to improved sexual desire