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This approach can be especially beneficial for individuals noticing symptoms related to declining hormone levels, such as decreased energy, reduced muscle mass, or changes in metabolism

Both programs include monthly telehealth visits with a clinician

Diabetes 66 , 868879 (2017)

The authors emphasize individualized riskbenefit assessment and the need for monitoring and intervention

Sustainable lifestyle changes are indeed the key, and if the patient and provider collaborate on a plan that is realistic and concrete, the placebo group does quite well, long-term, with no risk of serious side effects (notice that the post overlooks paralytic ileus and blindness, which are far more devastating than the side effects that are listed)
But the rise of turnkeys also means that pretty much anyone with a website and some money can get in on the game
