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doi: 10.1016/j.jbc.2021.101530 330 AscasoFJHuervaVGrzybowskiA
Multiple validated approaches exist, with selection depending on specific goals, injury characteristics, and individual response patterns
Bosch R, Philips N, Surez-Prez JA, Juarranz A, Devmurari A, Chalensouk-Khaosaat J, Gonzlez S
Symptoms & Signs of declining testosterone levels may include: Muscular weakness, loss of lean body mass Decreased bone density Increased fat in the abdominal/chest area, weight gain Decreased body hair, wrinkles, sagging skin Mental and physical fatigue, lethargy Decline in physical performance and endurance Depression, memory loss, insomnia Decreased concentration, lack of ambition, lack of motivation Increased joint pain, muscle stiffness, decreased coordination Decreased libido, erectile dysfunction, impotence Increased blood sugar, elevated cholesterol What I see most often in my patients is fatigue (mostly in the early evening), insomnia or restless sleep, weight gain in the abdomen, loss of muscle tone, focus and memory deficits, irritability, lack of confidence, loss of motivation, mild to moderate depression, and anxiety
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