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The general thing I tell everybody, [if] it affects your heart, [it] can also affect your reproduction. Just as there is an association between body size and reproductive hormones in female bodies, there is an association between body mass index and semen quality, Eisenberg says

The FDA-approved initial dose is 2.5 mg administered subcutaneously once weekly for the first four weeks

If you do experience nausea, it typically appears in this 8 to 24 hour window