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For men (or women) seeking off-label use, there is a legal pathway via compounding pharmacies

GLP-1 receptor agonist drugs (called GLP-1s for short) like semaglutide work by mimicking this hormone, increasing insulin release (which helps control diabetes), signaling your brain that you're full, and slowing digestion

The outcome can be sweating, nausea, lightheadedness, or even fainting, a condition known as vasovagal syncope

Methods Mol Biol 494:18

In the semaglutide group, fewer serious cardiovascular events, such as death due to heart disease, heart attack or stroke, occurred compared with placebo (hazard ratio 0.80)