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The bottom line on safety: The TRAVERSE trial (2023) the largest cardiovascular safety trial of TRT to date, with 5,204 men followed for a mean of 33 months found no increased risk of major adverse cardiac events at therapeutic doses

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Some patients find that high-fat foods, including peanut butter, may worsen gastrointestinal side effects such as nausea or discomfort, particularly during dose escalation

Practical takeaway: aim for a mix of fresh and frozen produce, and keep cooking simple

If there is a problem in the stomach and intestines with the absorption of vitamin B12, taking it as a tablet will not help to achieve normal levels