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9. A small retrospective series suggests a dose unbiased and incomplete
   suppression of spermatogenesis with AS (14). Knuth and colleagues retrospectively examined forty one
   bodybuilders’ semen analyses along with self-reported steroid administration logs.
   Regardless Of steroid doses as much as forty occasions larger than scientific utility, solely 24 displayed
   subnormal sperm counts. Different case reviews support restoration of normal sperm levels inside 1 12 months of
   abstinence regardless of beforehand excessive doses of AS (16,17).
   As a rule, all males who are actively making an attempt for a pregnancy ought to immediately stop taking testosterone
   or AAS.
   However, testosterone is a steroid hormone – and will trigger the sperm rely to plummet.
   If a person has baseline low testosterone and likewise
   wishes fertility, there are different alternative medications that may help preserve normal testosterone levels AND
   a standard sperm rely. The use of anabolic steroids is banned by all main sports activities leagues due to
   the unfair aggressive benefit these substances present.
   Anabolic steroids are listed as managed substances, which signifies that it is technically unlawful
   to possess these substances with no prescription. Manufacturing and distribution by non-physicians is also unlawful,
   and due to this fact most anabolic steroids used
   for non-medical causes are manufactured in different international locations and smuggled
   into the Usa. This makes quality management and
   safe manufacturing supervision by such agencies as the FDA not attainable.

   Testosterone is the first male hormone, which is important for sexual differentiation, spermatogenesis, and the development of male sexual characteristics.
   It has been really helpful for therapeutic use for symptomatic hypogonadism as androgen replacement therapy.
   However, the misuse and abuse of testosterone and different anabolic androgenic steroids (AAS) are detrimental to cardiovascular and
   psychological health, with a serious threat to
   male reproductive health. Testosterone abuse adversely impacts male fertility by suppressing
   the hypothalamic-pituitary-gonadal axis, leading to lowered
   intratesticular testosterone levels, impaired spermatogenesis, testicular atrophy and azoospermia.
   Additionally, continual testosterone abuse induces oxidative stress and
   DNA harm in sperm cells, and may lead to
   sexual dysfunction. Restoration for fertility parameters after cessation of abuse is commonly extended and may be incomplete in plenty of instances.

   Diagnostic approaches embrace medical profile, hormonal evaluation, semen analysis, genetic
   testing, and imaging methods.
   This modification allows a larger fraction of
   the absorbed AAS to enter the lymphatic system
   and bypass first-pass metabolism. However, even after esterification of testosterone by an 11-carbon carboxylic acid group (undecanoate), oral
   bioavailability stays poor at 6.8% (9). The formulation additionally shows
   massive intra- and interindividual variation in bioavailability, making it cumbersome for replacement remedy.
   To handle this, testosterone undecanoate has lately been formulated in a self-emulsifying
   drug supply system (SEDDS) to further improve lymphatic absorption and cut back intra-
   and interindividual variation (10). However,
   it must be dosed twice daily to take care of physiological testosterone ranges throughout
   the day.
   Drug use, including the misuse of steroids, significantly impacts sperm parameters making it more durable to turn out to be pregnant.
   Steroids can have a range of effects on the body, and it is very important consider the potential risks before deciding to make use of them.
   Whereas it’s possible to conceive whereas taking steroids,
   there are potential risks to each the mom and child. Women who are pregnant or planning to turn into pregnant ought to consult their doctor earlier than taking any sort of steroid.
   Sperm depend and motility, which can finally result in decreased fertility – have all the time been a concerning problem for male sufferers who are
   utilizing or contemplating utilizing oxandrolone for medical or performance-enhancing purposes.

   For instances not responding to cessation of testosterone abuse, hCG or SERMs like clomiphene citrate can suppress the negative feedback of estrogen on hypothalamus and assist
   in assessing as well as stimulating endogenous production of testosterone
   by Leydig cells [21]. While anabolic steroids are higher
   known for a way they are misused, they do have useful uses as a
   medical treatment. Corticosteroids are used to treat circumstances
   the place there is irritation or swelling. They are artificial medication that resemble cortisol, a hormone
   produced by the adrenal glands.
   These research of potential androgen-based male hormone contraceptives have consisted of 1 to 2 years of remedy, and sperm concentrations return to baseline (normal) in 12 to 16
   months after discontinuation in 95% of wholesome men. Many specialists have concluded that restoration of spermatogenic operate happens similarly within 1 to 2 years of the discontinuation of continual AS abuse.
   Nevertheless, there appears to be a delay in spermatogenic recovery with longer length
   of androgen abuse and longer-acting formulations of androgens (2,7).

   Thus, some men who abuse AS for many years would
   possibly take longer than 2 years to recover regular spermatogenesis
   after discontinuation (2). Exogenous testosterone’s deleterious
   effects on male copy stem from its disruption of
   the above described male HPG axis and the ensuing decreases in each
   serum FSH and LH [23]. With Out appropriate stimulation from FSH,
   Sertoli cells turn into incapable of supporting spermatogenesis
   while sub-par levels of LH result in decreased production of endogenous testosterone from
   Leydig cells. Although serum testosterone ranges are maintained with exogenous administration, applicable intra-testicular ranges
   of testosterone can solely be achieved by endogenous production and are important for normal spermatogenesis [16].

   Current international research reported an overall lifetime
   prevalence of AAS use for males of 3–4 % [3] and of 1.6 % for girls
   [4]. AAS use amongst male health club attendees is estimated to be as excessive as 15–25 %, depending on the country and with
   an increasing prevalence [5–7]. Nevertherless, rates of AAS use are additionally high in Scandinavia,
   Brazil, British Commonwealth international locations, and in Europe [2].
   This increasing prevalence of AAS consumption in become a major public well being issue
   in these international locations. Improving total well
   being via food plan, train, and stress administration can even play a role in enhancing
   fertility.

   References:

   Hydration Strategies During Roid Cycles

10. The acceleration of development in adolescents treated with testosterone has raised concern for the premature closure of the epiphyseal plate (NIDA, 1996; Sturmi and Diorio,
    1998). Nonetheless, there does not look like any reports
    documenting the occurrence of untimely stunted development inadolescents taking anabolic steroids.
    Fascinating, anabolic steroid administration in colts has been reported to delay epiphyseal plate closure (Koskinen and Katila,
    1997).
    The mixture of insulin resistance, high blood pressure, and
    abnormal blood fats levels constitutes an ideal storm of increased threat
    for cardiovascular disease, together with heart assault
    and stroke. Notably, taking testosterone or other anabolic steroids during being
    pregnant can result in irregular fetal improvement of the reproductive system, notably amongst female babies 2.
    Additional, it remains unknown how these hormones may
    affect infants of nursing moms utilizing these medication.
    Anabolic steroids, the most popular kind, aid in muscle and bone synthesis and enhance
    energy. Lastly, corticosteroids regulate metabolism, immune operate, blood volume, and renal excretion of electrolytes.
    These well being risks in addition to the excessive dependancy potential of AAS are the primary purpose why anabolic steroids are
    managed substances and are considered illegal within the US.
    On the opposite hand, anabolic steroids are merchandise which will include testosterone or different androgens that are
    taken in much larger and unsafe doses with the only function of improving one’s efficiency and physique.
    However, testosterone and other anabolic steroids also can trigger deteriorations in health, doubtlessly
    resulting in deadly outcomes. Thus, anabolic steroids and SARMs aren’t advised in supraphysiological doses or for beauty functions.

    Depending on the technique of administration, you
    could really feel it within the first two weeks of your preliminary Testosterone substitute therapy dosing.
    Testosterone alternative remedy merely aims to get you again to regular
    ranges of Testosterone. This means you will merely fix your low T ranges and won’t be
    pushed previous what is taken into account normal.

    It will come as no surprise that Testosterone (in any form or amount)
    may promote the expansion of muscle tissue.
    It is well-known that the content of lysosomes in kind IIB/X muscle fibers is low; the position of lysosomal
    proteases within the improvement of corticosteroid myopathy just isn’t vital.
    Actin filaments are more proof against the catabolic motion of glucocorticoids.
    Muscle weak spot in corticosteroid myopathy is the end result of destruction and atrophy of the
    myofibrils [5]. Anabolic steroids are drugs that resemble the chemical structure of the sex hormone testosterone,
    which is made naturally by the physique. Testosterone directs the
    body to make or improve male traits, similar to increased muscle mass, facial
    hair progress, and deepening of the voice, and is a
    vital part of male improvement throughout puberty. What we have to recollect in relation to females utilizing anabolic steroids is that you are
    introducing male androgen hormones into your body at levels
    much larger than would ever be produced naturally.
    In Accordance to a research, most bodybuilders and athletes use
    anabolic steroids to improve their performance over the previous decade.

    This document summarizes corticosteroids, including their biosynthesis, regulation,
    classification, mechanisms of action, results, and therapeutic uses.

    Corticosteroids are synthesized from ldl cholesterol in the adrenal cortex underneath ACTH control.
    Glucocorticoids corresponding to cortisol regulate carbohydrate and protein metabolism and have anti-inflammatory
    results. Extended corticosteroid use can cause HPA axis suppression and metabolic
    side effects like hyperglycemia. Therapeutic makes use of embody changing cortisol in adrenal insufficiency and treating inflammatory/autoimmune situations.

    Reports suggest that utilization of anabolic steroids increases muscle mass,
    stamina, and endurance.
    But it’s essential to remember that everyone’s expertise is different and
    that the advantages can include big risks.
    Studying concerning the ideas and how anabolic steroids work will assist you to make
    smarter decisions about them. The potential side effects of testosterone
    remedy and anabolic steroids can be severe and should not be
    taken flippantly. Any hormone remedy carries potential dangers, and it’s
    essential to consult a healthcare supplier earlier than starting any form of testosterone treatment.

    Nonetheless, when administered under medical supervision, TRT has a much decrease
    danger profile in comparison with steroid misuse.
    Anabolic steroids are synthetic variations of the male sex hormone testosterone.

    They even have an immunosuppressive impact, immunomodulatory effect and are thus
    used to treat autoimmune diseases too. As a part of your subscription and
    as medically indicated, physicians prescribe medicines, and advocate dietary supplements which might be delivered to you
    from the comfort of your personal home. Dan Wagener is a seasoned healthcare author and editor specializing in breaking down complex medical info for a broad audience.

    In addition, testosterone has a therapeutic index of 1 meaning there’s similarity
    within the proportion between the anabolic and androgenic results.
    As a outcome it becomes essential to chemically modify testosterone to
    retard the degradation course of and reduce a few of the negative side
    effects. This permits for maintenance of efficient blood
    concentrations for longer intervals of time, could increase its
    interplay with the androgen receptor, and achieves the specified anabolic and androgenic
    modifications. Amongst AAS users there may be the belief that AAS might cause gynecomastia by way of
    alternative pathways, similar to elevated progestin action at the mammary glands
    or elevated prolactin ranges. Whereas gynecomastia can develop in sufferers
    with hyperprolactinemia, the condition arises secondary to the gonadotropin suppression prolactin may cause
    (203). Such follow must be discouraged because it’s illogical and produces
    potential side effects similar to cardiac abnormalities or arrhythmia.
    Elevated progestin motion at the mammary gland is also impossible to be a reason for AAS-induced gynecomastia.

    Muscle activity increases the synthesis fee of myofibrillar proteins through a
    mammalian target of rapamycinactivating proteins inside
    the nitrogen-activated protein kinase signalling.
    The recovery from the last exercise session, significantly from intensive exercise, is quicker
    within the younger than within the aged. Glucocorticoids
    caused losing because of the lack of FT fibers,
    their myofibrils, contractile proteins, and conversion of muscle
    fibers with low oxidative capacity into higher oxidative capacity.
    The MyHC and actin synthesis rate decreased by about 20–30% and contractile proteins
    turned over very slowly after glucocorticoid
    treatment. Another frequent opposed event relating to sexual operate in males administering anabolic steroids is reversible azoospermia and oligospermia (Alen and Suominen,
    1984; Schurmeyer et al., 1984). As exogenous androgen use
    increases, endogenous testosterone manufacturing is reduced.

    References:

    Συμβουλές για τη διατήρηση της ενέργειας κατά τη διάρκεια του κύκλου

11. Six of eight sites (75%) offered no less than one postcycle recovery agent with
    commonly offered choices including gonadotropins, serum
    estrogen receptor modulators, and aromatase inhibitors (Table 2).
    Five of eight (62%) of websites offered no less than one
    ED treatment, normally phosphodiesterase-5 inhibitors, but
    one site (anabolics-supplementary.com) additionally
    provided intracavernosal injection remedy. As a main objective of the study,
    each website was individually evaluated for the provision of AAS and stratified
    by type(s) of testosterone preparations, artificial AAS, non-AAS hormone therapies,
    postcycle restoration agents, erectile dysfunction (ED) drugs,
    and non-AAS dietary supplements. Synthetic AAS within the current search had been defined
    as synthetic derivatives of medically synthesized testosterone and
    other anabolic hormone preparations to optimize androgenic results.
    Non-AAS hormone therapies had been defined as those
    agents commonly used at the side of AAS to intensify the anabolic
    effects but reduce toxicity.
    The membrane-bound enzyme GGT is expressed in the kidneys, pancreas,
    spleen, lungs, brain, intestines, coronary heart, prostate and liver
    – the place it is primarily expressed in areas that are wealthy in biliary
    epithelial cells (112). The collective enhance in these serum
    markers should thus be interpreted as an indication of liver
    injury, even in the presence of concomitant muscular train. Supraphysiological dosages of testosterone, a
    minimum of as much as 600 mg testosterone enanthate, did not have an effect on serum prostate-specific antigen (PSA)
    ranges in each wholesome younger (15, 22) and older males (37).
    Prostate quantity, as assessed by magnetic resonance imaging
    (MRI), remained unchanged in response to graded dosages as much as 600 mg testosterone enanthate weekly for 20 weeks in healthy males (22).
    The HAARLEM examine did find a small but important enhance in PSA ranges on the
    end of an AAS cycle in contrast with baseline (from zero.seventy one μg/L to zero.ninety three
    μg/L) (39). Two % of the themes exceeded the upper
    limit of the reference range (2.0 μg/L). These outcomes are seemingly at odds with the literature that reveals unchanged
    PSA levels in response to supraphysiological dosages of testosterone enanthate.

    This might probably end result within the early onset of circumstances commonly noticed
    in long-term customers, similar to dyslipidaemia, hypertension, erectile dysfunction,
    and cognitive impairment [3, forty four, 45]. Concerning the shortage of experience with strength training, a untimely use of anabolic steroids would possibly increase the
    danger of injuries on tendons and muscle ligaments all of a sudden required to support the workload of
    drug-enhanced muscle tissue [46,forty seven,48].
    The most severe complication of anabolic steroid use is the development of
    hepatic tumors, either adenoma or hepatocellular carcinoma.
    The hepatic tumors arise in patients on long run androgenic steroids, usually
    during therapy of aplastic anemia or hypogonadism, however occasionally
    in athletes or body builders utilizing anabolic steroids illicitly.

    Tumors are sometimes found after 5 to fifteen years of use,
    however onset within 2 years of beginning remedy with testosterone esters has been described.

    Many of the case stories have occurred in patients with other risk components for cancer, similar to Fanconi’s syndrome, iron overload or continual hepatitis C (from blood transfusions).

    In this regard, to prevent the utilization of AASs, public well being measures in all settings are essential.
    These measures consist of improved data among healthcare employees,
    correct doping screening exams, educational interventions,
    and updated laws. Anabolic-androgenic steroids (AAS) are a major lifestyle think about infertility and are sometimes used to enhance physical
    efficiency and look. Endogenous AAS regulate male intercourse organ growth and
    secondary characteristics. AAS bind to androgen receptors, selling muscle growth by rising protein synthesis and promoting the expansion hormone-insulin-like development
    factor 1 axis. Injectable forms of AAS have extended half-life due to esterification, while oral
    AAS face reduced bioavailability because of
    first-pass metabolism.
    Some T-boosters additionally comprise fenugreek seeds (Trigonella foenum-graecum; Fabaceae), a spice that also contains saponins,
    diosgenin, and yamogenin [1,ninety nine,100].
    A considerable variety of (former) AAS abusers seeking assist have mental problems.
    Havnes et al. confirmed that psychological issues corresponding to depression, anxiousness,
    behavioural change and AAS dependence are reported much more
    regularly than physical problems (20). By the patient, these symptoms are mostly attributed to hormonal disturbances corresponding to testosterone
    deficiency, however this will not always be the case.

    It could also be quite revealing to ask why a muscular physique is so important for
    the patient and why he is even prepared to use medicine for it.
    It could additionally be of help to explore whether there is a low vanity or a distorted
    self-image that needs to be addressed.
    From sinus infections and hypertension to preventive screening, we’re
    here for you. The SMSNA periodically receives and
    publishes ‘guest editorials.’ The present article was submitted by Mia Barnes, a contract writer and researcher who focuses on women’s health, wellness,
    and wholesome living. Understanding these variables
    is essential to making knowledgeable selections about
    the right steroids on your goals, guaranteeing you achieve the results you desire.
    In this article, we are going to take a deeper look into
    these elements, so you can perceive the power of every steroid a little more,
    and assist you to resolve which is best for you and your objectives.

    For unknown causes, these effects seem idiosyncratic; most AAS customers show few behavioral results, but a minority develops severe effects.
    In this page, the term ‘steroid’ specifically refers to anabolic androgenic steroids.

    SARMs have been investigated in human studies for the remedy of osteoporosis, cachexia (wasting syndrome), benign prostatic hyperplasia, stress urinary incontinence,
    and breast cancer. As of 2023[update], there aren’t
    any SARMs which have been permitted by the Usa Meals and Drug Administration or the European Medicines Agency.
    Though adverse results in clinical research have been rare and
    mild, SARMs may cause elevated liver enzymes, reduction of HDL cholesterol levels, and hypothalamic–pituitary–gonadal axis (HPG axis) suppression, among different side effects.

    Another broadly marketed T-boosting product contains the powdered root or root extract of Mexican yams corresponding to Dioscorea villosa (Dioscoreaceae).

    The following sections will provide background, side effects, and hurt reduction methods for generally used AAS/PEDs.
    A latest systematic review of AAS use found common causes for in search
    of medical care had been general well being concerns, blood check monitoring,
    and prescription substances. Assist with discontinuing
    AAS use was not a prime precedence.25 Clinicians should certainly
    discourage AAS use, but the initial interplay ought
    to serve to obtain a better understanding of why the patient is
    using AAS, what considerations they’ve, and why they’re
    looking for care. Open-ended questions may reveal motivations of the
    patient, such as fertility or facet effect avoidance.

    The psychological impact of anabolic steroid misuse additional complicates the overall health and wellbeing
    of users. It is essential for individuals to be informed about these potential long-term and infrequently irreversible
    results when considering anabolic steroid
    use, underscoring the importance of weighing these substantial health dangers towards the short-term
    positive aspects. Taken as an entire, these research indicate
    that pubertal AAS exposure can alter mind plasticity in the limbic regions of the
    brain via neurotransmitters and structural modifications.

    The limbic regions, such as the hypothalamus, amygdala, and hippocampus, help
    a broad range of functions that embody aggression, reproductive behaviors, learning,
    and appropriate responses to exterior stimuli (Sokolowski and Corbin, 2012).
    Modulation of this area of the brain, especially by AAS
    publicity during the critical period of puberty, may improve the chance of behavioral and emotional disorders.
    Whereas these areas additionally contain excessive concentrations of androgen receptors, it is notable that androgen receptor binding levels weren’t correlated with AAS-induced adjustments in conduct (Wesson and
    McGinnis, 2006).

    References:

    Clenbuterol Usage Guidelines

12. We’ve seen how these powerful substances can wreak havoc
    on mood, cognition, physique image, and overall psychological health.

    From the highs of mania to the lows of melancholy, from cognitive
    fog to crystal-clear obsession, steroids can take your mind on a wild experience.
    When it comes time to discontinue steroid use, having a
    strategy for safe withdrawal is crucial. Abruptly stopping can result in a crash in both physical and psychological well-being.
    A gradual truly fizzling out, beneath medical supervision, can help minimize withdrawal signs and scale back the chance
    of post-steroid depression. I’ve heard folks claim he is on the sauce — shooting anabolic steroids in live performance with all of the iron he pumps.
    Lastly it refers to a life giving ambrosial drink that can be made from many things, and normally incorporates nature’s natural sweetness.

    Additionally, many participants used other medicine concurrently with AAS, together with
    compounds with the potential to advertise hair loss, corresponding to thyroid hormone.
    Proper therapeutic use and coping with illegal misuse of anabolic steroids
    require an interprofessional group effort. In addressing
    illicit use, all members need to focus on the indicators of steroid misuse and be ready
    to counsel as needed to aim to resolve the issue.
    In respectable therapeutic use, the clinician will prescribe an agent based mostly on medical necessity for a particular symptom or indication, and the pharmacist can verify applicable dosing and verify for drug interactions.
    Nurses can present counseling on administration together with the pharmacist and monitor for adverse results
    on follow-up visits. Pharmacists and nurses need an open communication channel with the
    prescriber.
    Treatment should be withheld in men with a palpable prostate nodule or prostate-specific antigen of more
    than four ng/mL and in patients at high danger of prostate malignancy with prostate-specific antigen of
    more than 3 ng/mL. Some combine this with corticosteroids, which deal with inflammation however don’t construct muscle.
    Some folks can turn out to be used to the feeling of
    energy or endurance that steroids give them and turn into
    dangerously addicted. Long time period, unregulated use of AASs can affect a
    few of the same brain pathways and chemical substances
    which would possibly be affected by different medicine, corresponding to opiates.
    Non-medical use of steroids can involve quantities from 10 to a hundred instances the amount used for medical functions.

    The long-term penalties of steroid use can differ by gender, with potential irreversible effects in ladies and younger users.
    General, while anabolic steroids could offer short-term
    advantages in muscle growth and athletic performance, they carry important risks that warrant caution and awareness.
    The best anabolic steroid for muscle growth is Dianabol, which
    increases testosterone synthesis to increase strength and bulk.

    AASs, especially the seventeen-alkylated ones,
    cause a decreasing of this so-called good type of ldl cholesterol.
    When AASs are stopped, however, levels of cholesterol return to regular.

    One Other threat issue for coronary heart assaults and strokes is hypertension. Research have shown that
    AASs may cause small will increase in blood stress, which return to normal
    when AASs are stopped.
    They can cause puberty to start and can help some boys who
    have a genetic disorder to grow more usually.
    The physique needs calories to maintain muscle mass, so any
    lower in caloric intake might trigger a lack of lean body tissue.

    Instead, the plan guarantees to change metabolism to
    favor fat, allowing you to eat a standard amount of energy whereas nonetheless seeing a
    reduction in body fats share. He named his plan the anabolic
    food regimen as a outcome of he believed that carbohydrate biking may mimic the effects of anabolic steroids.
    Anabolic steroids are categorised as managed substances in many nations because
    of their potential for misuse and abuse. In the Usa,
    they are categorised as Schedule III medicine under
    the Managed Substances Act.
    The versatile steroid Deca Durabolin is usually utilized
    in a bulking cycle. This is as a end result of it tends to promote muscle development
    and increase energy and endurance for a competitive advantage.
    Deca Durabolin, however, causes serious health points and the unwanted effects of
    abusing anabolic steroids, much like Dianabol does.

    Decaduro, which is its natural equivalent, is a far wiser alternative.
    Anabolic steroids may be given orally, intramuscularly, or subcutaneously via creams or gels,
    relying on the kind. Anabolic steroids are taken orally,
    subcutaneously, or intramuscularly, as pellet injections beneath the skin, or topically as gels or
    patches when they are used for medicinal purposes.
    Dianabol is also toxic from a cardiovascular and hepatic perspective.
    Dianabol raises blood pressure like all anabolic steroids, albeit to a more notable diploma, because of its vast
    effect on water retention (making blood volume increasingly
    viscous). Whether you’re an athlete considering performance enhancement, a bodybuilder chasing the perfect physique, or
    somebody prescribed steroids for medical causes, understanding the potential psychological risks is essential.

    Prostate quantity, as assessed by magnetic resonance imaging
    (MRI), remained unchanged in response to graded dosages as much as 600 mg testosterone enanthate weekly for 20 weeks in wholesome males
    (22). The HAARLEM research did discover a small however significant increase in PSA ranges on the end of an AAS cycle compared with baseline (from 0.71 μg/L to zero.93 μg/L)
    (39). Two % of the subjects exceeded the upper limit of the reference vary (2.zero μg/L).

    For instance, sterols such as cholesterol and lanosterol have a hydroxyl group hooked
    up at place C-3, while testosterone and progesterone have a carbonyl (oxo substituent) at C-3.
    Among these compounds, solely lanosterol has two methyl teams at C-4.
    Cholesterol which has a C-5 to C-6 double bond, differs from testosterone and progesterone which
    have a C-4 to C-5 double bond. Medical Evaluation BoardAll Ignite Healthwise,
    LLC schooling is reviewed by a group that features physicians, nurses, superior practitioners, registered dieticians, and other healthcare professionals.

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