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Now, when it comes to sex hormones, I did talk about, um, estradiol, but I do want to mention that getting a total and free testosterone along with sex hormone binding globulin and DHA sulfate can also be a really good baseline to have because so often when it comes to women's health, it's all about that estrogen, maybe about the progesterone, and everybody forgets testosterone

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However, patients with active eating disorders require careful clinical oversight before starting GLP-1 therapy, and the decision to add semaglutide in the context of bulimia treatment should involve the treating mental health provider, not just a prescribing physician