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[7] [8] These include: Maintaining a consistent sleep and wake time, even at weekends Avoiding caffeine, alcohol, and heavy meals in the hours before bed Keeping the bedroom cool, dark, and quiet Limiting screen exposure (phones, tablets, televisions) for at least one hour before sleep Engaging in relaxing activities such as reading or gentle stretching in the evening Further self-care advice is available on the NHS website (nhs.uk/insomnia)

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Therefore, we hypothesize that an increase in SHBG during obesity treatment [43] will contribute to a decrease in sexual desire by increasing bound testosterone compared to free testosterone

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