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Primary hypogonadism (congenital or acquired): Testicular failure due to diseases and conditions in the body such as cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter Syndrome, chemotherapy, or toxic damage from alcohol or heavy metals; these men usually have low serum testosterone levels and gonadotropins (FSH, LH) above normal range Hypogonadotropic hypogonadism (congenital or acquired): Gonadotropin or luteinizing hormone-releasing hormone (LHRH) deficiency or pituitary-hypothalamic injury from tumors, trauma, or radiation; these men have low testosterone serum concentrations but have gonadotropins in the normal or low range.

I have taken Nugenix for about 3 years. I swear by it. When I was about 60 my testosterone levels had dropped to about 50T before I did anything about it. I was extremely depressed almost incapable of doing my job. I am a professional in an office responsible for about 150 clients.
My first doctor gave me a T gel that I rubbed in. My second doctor began a testosterone injection regimen 200 mg every two weeks. Believe it or not that did return me to active sexual activity. It wasn’t until I started to take a similar product at GNC that put the hard back in an erection. After starting the injections I could get a limp erection but I could not perform. I could do my job and the injections put a swagger back into my step. Nugenix was the break over point for me. That is my experience without using any medical language.

All bets are off the table when high-dose testosterone and its many metabolites are used illegally, such as with anabolic steroid abuse. Strokes, embolisms, and cardiovascular disease are all more likely, as is sudden death, and liver and kidney disease. 44 In women, acne, irreversible deepening of the voice, baldness, increased facial hair, enlarged sex organs, breast reduction, depression, and infertility have all been reported. In adult men that abuse anabolic steroids, acne, baldness, permanent infertility, gynecomastia, loss of libido, erectile dysfunction, testicle shrinkage, and profuse sweating are all reported side effects. Increased testicular cancer hasn't been reported, though. 45,46

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