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Measure serum testosterone level at 14 and 28 days after starting or adjusting dose. Occasionally, propionate may be blended with cypionate or enanthate to combine both faster acting and slower acting esters. Cellular and molecular mechanisms underlying age-related skeletal muscle wasting and weakness.
Testosterone esters are not biologically active until the ester group is cleaved off. Each actuation of the metered dose pump dispenses. This medication is prescribed for patients with male hormone deficiency or absence, and it conforms to the same standards of quality control and efficacy as the mass-produced pharmaceutical brands. Because transcutaneous formulations of testosterone are associated with smaller peaks in testosterone concentrations, physiologic dosages of these formulations might cause less gynecomastia. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from androgens, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
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