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61 Unfortunately, infertility and its treatments can themselves be a source of stress, potentially adding to problems such as erectile dysfunction and retrograde ejaculation

Step 1: Rule out dehydration (check first, always) Check urine color

Possible mechanism: Reduced saliva flow can make the oral environment more prone to irritation and tissue breakdown

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodiumglucose cotransporter-2 inhibitors (SGLT2is) both provide cardiovascular benefit, although their clinical profiles differ as SGLT2 inhibitors have shown greater reductions in HF hospitalization, whereas GLP-1 receptor agonists appear particularly effective in reducing atherosclerotic events such as stroke [5, 6]

Yuan, S