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If your body thinks its in a state of low energy availability because you arent eating enough calories, it may shut down your reproductive system to save energy for survival

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[15] [27] In October 2025, the FDA further expanded the indication for semaglutide (as Rybelsus) to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes who are at high risk for these events