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You won't find it in any textbook or clinical guideline

Eighteen percent reported increased sexual desire while 16% experienced a noticeable decline

The vagina is healthiest at a moderately acidic pH level between 3.8 and 5 on the pH scale because it keeps bacterial and fungal infections from starting
Deficiency causes fatigue, weakness, and cognitive difficulties that can mimic or amplify tirzepatide-related tiredness

doi: 10.1038/ki.1996.186
