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Maximus positions itself around a "King Protocol" using testosterone and sometimes enclomiphene, an estrogen receptor antagonist that stimulates endogenous testosterone production rather than replacing it exogenously

doi: 10.3390/biomedicines10071661 11 MoriNKurataMYamazakiHHosokawaHNadamotoTInoueKet al

According to 2024 American Society of Anesthesiologists (ASA) multi-society guidance, most patients can continue GLP-1 receptor agonists perioperatively, but individualized risk assessment is recommended

While this is beneficial for weight loss, it also slows digestion, which can trigger feelings of nausea, especially during the first couple of weeks of treatment