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Peptides vs steroids examines the differences in mechanism, effects, and risk profiles

If you are confirmed to have deficient levels of testosterone, then testosterone replacement therapy may be recommended
as well as some rare neuroendocrine tumors accounting for less than 5% of cases (Horn 2013a

doi:10.1038/s41598-020-74022-y Lozic M, Stambolija V, Krezic I, et al

The physiological adaptations over time need to be considered

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