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The good news is that side effects did not vary dramatically between those randomized to testosterone vs placebo, although hematocrit did increase more (as expected) in those randomized to testosterone, suggesting adequate dosing level. However, the authors also noted that sildenafil alone boosted testosterone by 100ng/dL prior to the addition of testosterone such that perhaps some of the participants no longer needed any additional testosterone. Regardless, erectile dysfunction is but one reason for testosterone supplementation in hypogonadism: improvement in body composition, muscle strength, physical performance, cognition, and metabolism . So don't stop your testosterone therapy just yet. Follow @alvinblin 
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