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Incorporating additional medications, such as metformin , which also targets insulin resistance, can amplify these benefits

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Thats why the FDA gives it a boxed warning

[DOI] [PubMed] [Google Scholar] 37.Vahl T.P., Tauchi M., Durler T.S., Elfers E.E., Fernandes T.M., Bitner R.D., Ellis K.S., Woods S.C., Seeley R.J., Herman J.P., et al

It may also increase sexual desire in both men and women