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30 Although bariatric surgery significantly reduces the burden of metabolic comorbidities in men with obesity, it has not been reliably shown to improve semen parameters or sperm DNA integrity

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Clinical studies have raised concerns regarding reductions in lean body mass during GLP-1RA therapy [40], whereas preclinical studies report improvements in muscle mass and strength [41,42,43]

Eating slowly and chewing thoroughly gives your stomach more time to signal fullness to your brain and reduces the amount of air you swallow, which also contributes to gas formation