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Propecia medication. It is not known whether or this medication is associated with gynecomastia as reported in some case reports (5). Although the drug was effective, gynecomastia is a difficult condition to treat and it is difficult to assess the cause of gynecomastia in young and otherwise healthy men because the effect of testosterone treatment on gynecomastia is not well-defined. Treatment of Gynecomastia Treatment of gynecomastia is primarily directed toward lowering the serum testosterone level and correcting any deficiency of estrogen. Because many studies have reported that testosterone therapy is effective in preventing or correcting gynecomastia, testosterone replacement therapy should be pursued. The dosage of testosterone in a normal male ranges from 300-800 mg of testosterone per day. The dose should be titrated so that the serum testosterone levels are maintained below the upper normal limit of 400-500 ng/dl as outlined in the male hormone profile. If a young man is experiencing symptoms of the side effects associated with testosterone treatment such as fatigue, decreased libido, Order atomoxetine online acne, libido and sexual desire, then treatment with testosterone replacement therapy is recommended. It is generally accepted that in order to obtain and maintain the beneficial hormonal effects of testosterone treatment, a patient should buying effexor online be prescribed an effective testosterone therapy with a low-dose (300-600 mg per week) and a high-dose (800-1,000 mg per week) and not use testosterone with doses exceeding 300 mg per week. In clinical practice, patients must be prescribed an effective dosage of testosterone treatment to achieve a clinically significant serum testosterone level below the upper normal limit of 400-500 ng/dl. The effect of testosterone treatment on gynecomastia is difficult to assess and it is difficult, if not impossible, to prescribe effective testosterone doses because levels are difficult to determine. Testosterone supplementation is sometimes recommended for young men whose estrogen levels remain elevated as a result of estrogen deficiency (6). In some cases, the patient may be at risk of developing prostate cancer. However, there do not seem to be any clinical data support recommendations of testosterone supplementation in patients who are at risk of prostate cancer. In most cases, the use of testosterone therapy is not advised and the patient should follow standard guidelines for therapy of gynecomastia by not participating in strenuous activities or sports that increase the risk of injuries. Other causes of gynecomastia include high or low testosterone levels, severe dehydration, chronic medical conditions such as anemia, low or high sodium levels hypertension severe allergies to dairy products or egg products. It is important to avoid severe hypothyroid conditions. This condition is often an indication of a deficiency thyroxine in the patient's body. some cases, there is a high risk of diabetes mellitus and/or obesity which may increase the risk of developing gynecomastia. There are some patients who report feeling good on testosterone therapy. The use of therapy and a reduction testosterone may not be recommended for patients with serious medical conditions such as prostate cancer and liver disease who have been treated with a combination of testosterone and androgen deprivation therapy. Clinical Trials and Results Information concerning clinical trials on testosterone and gynecomastia is limited because the information may not be available in many countries. Treatment with high testosterone doses (up to several thousand milligrams) for multiple years may reduce the incidence of gynecomastia in some men. one study of 1,079 men treated for prostate cancer, those with 1,000 mg of testosterone per day for three years had less gynecomastia. The reduction in gynecomastia did not require discontinuation of treatment and no adverse events were reported (7). However, it is not known if high testosterone doses are effective in preventing or treating gynecomastia. It is important to follow standard guidelines for treatment of gynecomastia to prevent side effects such as liver enzyme elevations or increased muscle mass. Also, because high testosterone levels are associated with increased bone mineral density (BMD) and osteoporosis, it is recommended that patients should avoid exercise strenuous enough to cause an excess production of testosterone. There are no clinical trials available to evaluate the side effects related to use of testosterone in gynecomastia. It is suggested that patients who experience or develop symptoms of side effects from testosterone therapy should continue to use testosterone, and that they consult their physician about the appropriate treatment for side effect(s).

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