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Signs you may need a booster include recurring fatigue, brain fog, irritability, or trouble sleeping, especially if the injections previously improved these symptoms

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TRT is also not recommended if you have heart issues including: Uncontrolled heart failure A recent heart attack (within six months) Untreated high blood pressure Patients with other cardiac issues, if well managed, may be treated but require close cardiac monitoring, says Staheli TRT may also not be advised if you have sleep apnea