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International Society for Sexual Medicine: Online edition

References Long, S

Iodine deficiency is the most common cause worldwide, but Hashimotos disease (autoimmune thyroiditis) is the leading cause in non-iodine-deficient regions

Patients on GLP-1 medications (semaglutide, tirzepatide) who are losing weight but want to preserve lean muscle mass and improve body composition rather than just losing weight and shrinking