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When engaging in activities of low to moderate intensity or during prolonged periods of exercise, skeletal muscles mainly utilize fatty acids as their primary energy source, with glucose oxidation playing a smaller role

The treatment, coupled with lifestyle modifications, resulted in a significant enhancement of sperm motility, morphology, and overall semen parameters

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Alternatively, some patients successfully discontinue semaglutide and maintain weight through intensive lifestyle intervention: structured meal planning, consistent strength training, sleep optimization, and stress management