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Testosterone: Getting to the Heart of the Matter, Part 3

Posted Nov 08 2013 3:00am
For instance, while equal percentages of participants had obstructive sleep apnea (Table 1), there's no mention of any attempt to screen for those previously undiagnosed or untreated.  Furthermore, the Endocrine Society's Clinical Practice Guidelines note that testosterone therapy may worsen untreated obstructive sleep apnea.

With regard to monitoring, the Endocrine Society recommends evaluating the patient 3-6mo after treatment initiation followed by annual evaluation.  However, I find that to be a long time between contact & objective measurement.  After all, how easily do you fall off the nutrition & physical activity bandwagon.  Better to be reminded more often to stay on target as opposed to finding out too late.

And while there doesn't appear to be any difference in blood pressures in either group, there's no mention of hemoglobin or hematocrit, much less HDL cholesterol, all of which, when abnormal, can increase one's risk for prothrombotic events such as heart attack or stroke.  This is mentioned several times in the Clinical Practice Guidelines.
Bottom line, get frequent follow up so that you can enjoy the benefits of testosterone for years to come.
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