Male HypogonadismLow testosterone levels due to:Testicular failurePituitary/hypothalamic disordersDelayed puberty (selected cases)Androgen deficiency symptoms (low libido, erectile dysfunction, low energy)✔ Andropause (age-related low testosterone) – specialist-guided✔ Testosterone replacement after orchiectomy✔ Certain anemias or muscle-wasting conditions (rarely used now)
Contraindications:
Prostate cancer or suspected prostate cancerMale breast cancerSevere liver diseaseSevere kidney diseasePolycythemia (high RBC count)Heart failure or uncontrolled hypertensionSleep apnea (untreated)Known hypersensitivity to testosterone or oil-based injectables
Side Effects:
CommonAcne, oily skinHair fallIncreased body hairMood changes (irritability, aggression, mood swings)Gynecomastia (breast enlargement)Increased libidoInjection site pain
Precautions:
Only use after confirmed low testosterone (blood tests).Regular monitoring of:Testosterone levelsHematocritProstate exam / PSALipids & liver enzymesUse cautiously in:DiabetesHypertensionHeart diseaseObesitySleep apneaAvoid use in athletes for enhancement—health risks + banned substance.
Dietary Restrictions:
No strict restrictions, but recommended:✔ Healthy lifestyle to support therapyHigh-protein dietRegular exerciseAdequate hydration❌ AvoidAlcohol (worsens liver stress and hormone imbalance)High-salt foods (increases water retention)Excessive carbohydrates or junk food (worsens lipid profile)
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