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I don't really want him on therapeutic testosterone because if he injects it, he can have an inflammatory response or inflammatory cascade to the actual injection of the testosterone because he has so much visceral fat, which is, you know, causing all the cellular inflammation

That said, I would have no problems switching to Tirzepatide

Research on subcutaneous tissue thickness shows that differences of 10 kg/m-squared in BMI account for approximately 4 millimeters of variation in subcutaneous fat depth

Gao Y, Li J, Wu Q, Wang S, Yang S, Li X, Chen N, Li L et al (2021) Tetrahydroxy stilbene glycoside ameliorates Alzheimers disease in APP/PS1 mice via glutathione peroxidase related ferroptosis

Hormonal manipulation carries risks