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How should I adjust his insulin regimen now that his hemoglobin A1c has improved from 9.1% to 7.9% while he is taking insulin glargine (Lantus) 50 units twice daily, insulin aspart (NovoLog) GLP 1 receptor agonists may dampen libido, likely through brain pathways tied to appetite and reward, though mechanisms remain unclear. Emerging data suggest serotonin receptor effects may play a role, but clinicians note The effects of GIP, GLP 1 and GLP 2 on markers of bone turnover: a review of the gutbone axis ScienceDirect China's Innovent says its GLP 1 works better than Novo's semaglutide in diabetes study Reuters
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