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Since the control group itself contains more DHT, it requires more exogenous DHT to function

Key distinctions include: Proven long-term weight loss maintenance Metabolic and hormonal changes that persist without daily medication Improvement or resolution of obesity-related conditions such as diabetes, sleep apnea, hypertension, and fatty liver disease Clear insurance pathways, including Medi-Cal, Medicare, and most commercial PPO plans when criteria are met Unlike medications that must be continued to sustain results, bariatric surgery is a one-time intervention with lifelong benefits when paired with proper follow-up care

For example, they might suggest avoiding alcohol or drinking plenty of water, depending on your symptoms

It may also be preferable when the goal is steady-state hormone elevation rather than acute pulsatile release

Kidney problems: Both medications can affect kidney function, so careful monitoring is important, especially for patients with existing kidney issues