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Pregnant women excrete less urinary Se than nonpregnant and the amount progressively diminishes as pregnancy advances, possibly to conserve the trace element for the increasing fetal and maternal demands of pregnancy [23]

It continues to circulate in the grey market

These symptoms often get blamed on tirzepatide itself when they are actually electrolyte depletion from increased urination

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Elevated scrotal temperature, caused by factors like tight-fitting underwear, frequent use of hot tubs, or prolonged sitting, can also disrupt the delicate environment needed for healthy sperm development