Alfred Health, Melbourne, Victoria, Australia
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Department of General Practice, Melbourne Medical School, The University of Melbourne, Victoria, Australia
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body fat ( 2 ). After a period of AAS abuse, cessation may result in anabolic steroid-induced hypogonadism (ASIH), a state of dysfunction that may involve a suppressed hypothalamic–pituitary–testicular (HPT) axis accompanied by physical, psychological
Unit for Thrombosis Research, Department of Regional Health Research, University of Southern Denmark, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
OPEN, Open Patient data Explorative Network, Odense University Hospital, Region of Southern Denmark, Odense, Denmark
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Unit for Thrombosis Research, Department of Regional Health Research, University of Southern Denmark, Denmark
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Unit for Thrombosis Research, Department of Regional Health Research, University of Southern Denmark, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Unit for Thrombosis Research, Department of Regional Health Research, University of Southern Denmark, Denmark
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Introduction Opioid medications are widely used to treat chronic non-cancer pain ( 1 ). Male hypogonadism, characterized by low concentrations of testosterone and luteinizing hormone (LH), is one of the most well-described hormonal adverse
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for irreversible pathological hypogonadism needs to be life-long, the convenience of a regimen facilitates long-term compliance with therapeutic dosing. All testosterone products require individual optimizing of the patient’s regimen to ensure the best
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. CDGP is a diagnosis of exclusion, and alternative causes of DP should first be considered ( 5 , 6 ). These can be divided into three main categories: (1) hypergonadotropic hypogonadism, characterized by elevated levels of LH and FSH and due to gonadal
Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus N, Denmark
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Department of Molecular Medicine, Aarhus University Hospital, Aarhus N, Denmark
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Introduction Men with 47,XXY Klinefelter syndrome (KS) commonly present hypergonadotropic hypogonadism and are commonly treated with testosterone supplementation therapy ( 1 ). However, this treatment is almost entirely based on our knowledge
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. However, it gives an indication that the weekly dose varies enormously between users and that the mean dose is highly supraphysiologic. For comparison, a normal substitution dose of an injectable testosterone-ester to treat male hypogonadism should not
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Department of Medicine, University of Padova, Padova, Italy
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prevalence of 1:600 ( 6 )–1:660 men ( 7 ), although it is often under-recognized and, due to that, it has an expected increasing prevalence ( 8 , 9 ). Moreover, KS is the most frequent cause of hypergonadotropic hypogonadism in men ( 10 ). Most KS patients
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in patients with suspected hypogonadotropic hypogonadism and healthy control groups (1:1 matched). Inclusion criteria were as follows: (i) aged 6–18 years old; (ii) willing to participate in this study; (iii) no difficulty in language communication
Department of Clinical Biochemistry, Hospital of South West Jutland, Esbjerg, Denmark
Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark
Department of Internal Medicine, Lillebaelt Hospital, Kolding, Denmark
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Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark
Department of Clinical Genetics, Aarhus University Hospital, Aarhus, Denmark
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Department of Clinical Biochemistry, Hospital of South West Jutland, Esbjerg, Denmark
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Department of Clinical Biochemistry, Hospital of South West Jutland, Esbjerg, Denmark
Department of Haematology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands
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Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Clinical Biochemistry, Hospital of South West Jutland, Esbjerg, Denmark
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hypergonadotropic hypogonadism is virtually omnipresent in adult men with KS ( 1 ), resulting in an unfavourable metabolic profile characterized by dyslipidaemia, hypertension and increased visceral fat mass ( 1 , 5 , 6 ). Obesity is considered a causal risk
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Introduction Obesity causes functional hypogonadism (FH) due to suppression of hypothalamus-pituitary-testicular (HPT) axis that is potentially reversible ( 1 ). Recent evidence suggests that weight reduction (WR) with lifestyle measures (LSMs