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TRT is not recommended for men “with breast or prostate cancer, a palpable prostate nodule or induration or prostate-specific antigen greater than 4 ng/mL or greater than 3 ng/mL in men at high risk for prostate cancer such as African Americans or men with first-degree relatives with prostate cancer without further urological evaluation, hematocrit >50%, untreated severe obstructive sleep apnea, severe lower urinary tract symptoms with International Prostate Symptom Score (IPSS) >19, or uncontrolled or poorly controlled heart failure.” 1

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Testing for testosterone

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