Last year, FDAacting through the Office of Prescription Drug Promotion (OPDP) within the Center for Drug Evaluation and Research (CDER)issued a high volume of untitled and warning letters as part of a broader push against directtoconsumer (DTC) drug advertising, including 58 letters addressing claims about compounded GLP1s (e.g., semaglutide and tirzepatide) and other compounded products (e.g., sildenafil and tadalafil).[2] By mid2026, activity appeared to taper offraising the question whether FDA had shifted priorities, for example due to personnel changes, or simply paused the effort
Historically, little was known about how these drugs might affect male fertility or sexual function
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Those with low baseline GLP-1 secretion, insulin resistance, or genetic variants associated with blunted pathway activation may plateau despite sustained lifestyle effort
Semaglutide is a GLP-1 receptor agonist FDA-approved for diabetes and obesity