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Therefore, current treatment guidelines recommend maintenance of an optimal weight and stringent management of lipid levels in addition to glycemic control [3]

Ideal candidates typically meet these criteria: Total testosterone consistently below 300 ng/dL on morning blood draws Symptoms consistent with hypogonadism (fatigue, muscle loss, low libido) No contraindications such as untreated prostate cancer, severe sleep apnea, or uncontrolled polycythemia Willingness to commit to ongoing monitoring and follow-up What to Expect on TRT Most men begin noticing improvements within 3 to 6 weeks, with full benefits developing over 3 to 6 months

Insoluble fiber sources promote bowel regularity and include whole wheat products, wheat bran, brown rice, quinoa, nuts, seeds, and many vegetables including broccoli, cauliflower, and green beans

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