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A 2025 matched-cohort study found men who started testosterone therapy had significantly higher rates of tendon tears and repairs at one and two years compared to controls, a pattern the authors attributed to testosterone's effect on tendon biomechanics outpacing the tissue's regenerative capacity Sherman et al

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What I suggest for all my patients is that they put the cream on the sensitive portion of their inner thighs and take a pin and make a chart as to how soon they do not feel pain from the pinprick and how long it takes before they feel it again