[66] Common sexual side effects include decreased libido, delayed ejaculation or inability to ejaculate in men, and anorgasmia or delayed orgasm in women
This shift likely represents an adaptive response to chronic excitatory activity and the metabolic burden imposed by recurrent seizures, as previously proposed in models of refractory epilepsy 16
Though we have effective AOM in our armamentarium, such as phentermine, extended-release naltrexone and bupropion, and liraglutide, their more modest weight loss (mean total 4% to 8%) 1 and/or side-effect profiles often preclude their use
Options to consider include: Walking, starting with whatever distance feels comfortable Swimming or water-based exercise, where the water supports your body weight Stationary cycling at a gentle pace Yoga or Pilates, which combine movement with breathing and balance Tai chi is particularly helpful for joint stiffness and balance Resistance training for muscle and bone Resistance training can help to manage lupus for two reasons
