Anabolic steroids diagram

A 31-year-old man presenting with an 18-month history of sexual dysfunction resulting from severe adult-onset IHH (LH U/L, FSH U/L, T nmol/L). Initial therapy with 50 mg of clomiphene citrate (CC) three times a day for 7 days, with overnight LH pulse profiling and 9 am T levels evaluated at baseline and on completion. A 2-month washout period, followed by low-dose maintenance therapy (25-50 mg/d) for 4 months.
MAIN OUTCOME MEASURE(S):Baseline and stimulated T levels and LH pulsatility; effect on sexual function.
RESULT(S):Clomiphene therapy resulted in complete normalization of pulsatile gonadotropin secretion, serum T level, and sexual function. CONCLUSION(S):Isolated hypogonadotropic hypogonadism may result from an acquired defect of enhanced hypothalamic sensitivity to E-mediated negative feedback. Whereas direct T replacement therapy can further suppress endogenous gonadotropin secretion, treating IHH men with gonadotropins can stimulate endogenous T secretion and enhance fertility potential. On theoretical grounds, reversal of gonadotropin deficiency with CC might be expected to have a similar biological effect.

Modern nasal steroids such as Beconase™ , Rhinocort® , Flixonase™ and Nasonex® are proven safe for long term treatment. They should not be confused with dangerous anabolic steroids abused by some athletes – you will be perfectly eligible for the Olympics on these treatments. Potential side-effects of being “on steroids” are minimal because the total dose is small, and very little of the small dose taken is absorbed into the body. However, you might get local side-effects, such as nosebleeds. Occasionally, nosebleeds can be bad enough to stop you taking nasal steroids.

Anabolic steroids diagram

anabolic steroids diagram


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