Within the context of weight loss, the latest review observed that GLP-1 drugs may improve reproductive hormones and semen parameters in obese hypogonadal men
it does not replace standard medication stewardship practices
West J, Li M, Wong S, Le GH, Teopiz KM, Valentino K, et al
On April 1, 2026, the FDA issued a significant policy clarification targeting the most common remaining workaround: compounders and telehealth providers had been adding a secondary ingredient most commonly vitamin B12 to their semaglutide formulations and marketing them as distinct, patient-specific products not subject to the "essentially a copy" prohibition
Berman E, Raymond V, Andreeff M , Haimi J, Kempin S, Gee TS, Miller W, Gulati S, Young CY, Clarkson BD
However, older users often derive greater initial benefit making even partial retention valuable, while younger users might question whether modest improvements justify treatment investment when natural skin quality remains good