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Data availability The data and materials of the current study is available from the corresponding author on reasonable request

Request the following labs before starting and then at 3 and 6 months: Total testosterone (optimal: 500 to 900 ng/dL for most men) Free testosterone (optimal: 15 to 25 pg/mL) Estradiol (optimal: 20 to 40 pg/mL) SHBG (reference: 10 to 57 nmol/L) LH and FSH (reference: LH 1.8 to 8.6 mIU/mL, FSH 1.5 to 12.4 mIU/mL) If testosterone is rising and estradiol is falling over time, the trajectory is positive regardless of how you feel in the short term

That variability is normal and does not indicate that the medication is ineffective

However, the line between medical therapy and lifestyle enhancement becomes increasingly blurred

They didnt want to be perceived as superficial, chasing a Real Housewives ideal of perfection