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The search strategy combined Medical Subject Headings (MeSH) and free-text terms, including testosterone replacement therapy, TRT, low testosterone, hypogonadism, GLP-1 receptor agonist, semaglutide, tirzepatide, lean mass, fat-free mass, skeletal muscle, body composition, weight loss, and sarcopenia. Boolean operators (AND/OR) were applied as appropriate

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Early Research in Autoimmune Disease & Fibromyalgia What It Shows and Why Its Limited Fibromyalgia: Early Signals, No Conclusions Some observational reports describe symptom improvements (pain, fatigue, opioid use) in people taking GLP-1 medications, but limitations are consistent: non-randomized design, small samples, and confounding from weight loss, sleep, and metabolic improvements

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