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(LEA / EHMC) 50:12 Replacement dose vs PED 55:47 Four takeaways 57:46 Episode 4 preview and book pre-order What we cover: How body fat suppresses testosterone at two different points in the HPG axis, and why the loop is self-reinforcing The leptin and Kisspeptin pathway most clinics never address Marks case: a 45-year-old with a 240 ng/dL afternoon draw, no workup, and an immediate prescription Primary versus secondary causes, and why Klinefelter syndrome is the under-recognized one to not miss Weight loss dose-response: how much testosterone climbs on lifestyle alone, with GLP-1 agonists, and after bariatric surgery T4DM: why adding testosterone to a structured weight-loss program produced no extra quality-of-life benefit over placebo One week of sleep restriction drops testosterone by about 15 percent in healthy young men

Medical malpractice lawsuits can result in judgments of hundreds of thousands or millions of dollars

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