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ROS can modify sperm proteins through the oxidation of amino acid side chains, leading to the formation of carbonyl groups and disulfide bonds

The high levels of free fatty acids (FFAs) are the main manifestation of Zhao et al

Practically: Strong recommendation to pursue: CME in obesity medicine (60+ hours for ABOM certification) Obesity Medicine Board Certification (ABOM) open to all physicians including psychiatrists Specialized training for NPs through organizations like American Association of Nurse Practitioners This training: Solidifies your competency if questioned Helps you navigate complex cases safely Improves patient outcomes (obesity treatment is more than just prescribing) What are the reimbursement rates for weight management visits

Originally marketed as a treatment for Type 2 diabetes, they have also been used for weight loss for those who can afford them

doi: 10.1038/cgt.2008.81 60 YokotaYInoueHMatsumuraYNabetaHNarusawaMWatanabeAet al