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Other people, however, have said they experienced a drop in sexual desire

Studies report that it can cause up to a 2.2% reduction in HbA1c from baseline in T2D subjects [50]

10.1038/nrneurol.2015.172 154 NikolovaV

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You can expect it to show up as trouble maintaining attention on tasks, slower problem-solving, short-term memory gaps, difficulty finding words, or a general sense that thinking takes more effort than usual