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Description
While losing weight can improve body image and self-confidence, leading to a more satisfying sex life, some researchers question whether GLP-1 agonists may reduce sexual interest due to their effects on brain chemistry, particularly serotonin pathways
Lancet 391: 25772578, 2018

the clinician makes the clinical call

If not, move to Option 2

Wright AK, Carr MJ, Kontopantelis E et al (2022) Primary prevention of cardiovascular and heart failure events with SGLT2 inhibitors, GLP-1 receptor agonists, and their combination in type 2 diabetes

The next question is whether these drugs would precede bariatric surgery and selection criteria will be very important here