Reda A, Veys K, Kadam P, Taranta A, Rega LR, Goffredo BM, Camps C, Besouw M, Cyr D, Albersen M, Spiessens C, de Wever L, Hamer R, Janssen MCH, DHauwers K, Wetzels A, Monnens L, van den Heuvel L, Goossens E, Levtchenko E (2021) Human and animal fertility studies in cystinosis reveal signs of obstructive azoospermia, an altered blood-testis barrier and a subtherapeutic effect of cysteamine in testis
Speak with your doctor because they may be able to determine if the medication is the source of the issue, and if so, they can help find a solution such as changing your dosage or your medication, or try an alternate solution such as a gastric balloon or non-surgical endoscopic weight loss procedure like Suture Sculpt endoscopic sleeve gastroplasty (ESG)
This will depend on your goals and current health
New England Journal of Medicine, 387 (3), 205-16