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In primary hypogonadism, the testes themselves fail to produce adequate testosterone despite normal or elevated levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH)

Common side effects are temporary and can include redness, dryness, stinging or burning, slight swelling and reactivation of cold sores

Start with a fresh vial and mark the discard date 28 days out

A lack of B12 may also cause gas and constipation to occur

These disruptions may contribute to (although not solely responsible for) various pathological conditions such as depression, anxiety, cardiovascular disease, and metabolic disorders such as type 2 diabetes

Screening for contraindications Phase 2: Initiation (Weeks 1-2) Start oral or injectable protocol as prescribed Initial response variessome patients notice reduced pain or improved digestion within days