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Pure Muscle Growth
Karyotype A karyotype should be considered in men with unexplained hypergonadotropic hypogonadism. The most common chromosomal abnormality identified is 47,XXY, also known as KS, although other chromosomal abnormalities can also be found. For those clinicians inexperienced in managing KS, referral to a more experienced clinician is advisable.
Hemoglobin/Hematocrit Prior to initiation of testosterone therapy, all patients should undergo baseline assessment of Hb/Hct. If baseline Hct >50%, the clinician should with-preserve testosterone remedy till the etiology of the excessive Hct is explained (polycthemia vera, living at altitude, obstructive sleep apnea, tobacco use). While on testosterone therapy, a Hct ≥fifty four% warrants intervention.
Pure Muscle Growth
Karyotype A karyotype should be considered in men with unexplained hypergonadotropic hypogonadism. The most common chromosomal abnormality identified is 47,XXY, also known as KS, although other chromosomal abnormalities can also be found. For those clinicians inexperienced in managing KS, referral to a more experienced clinician is advisable.
Hemoglobin/Hematocrit Prior to initiation of testosterone therapy, all patients should undergo baseline assessment of Hb/Hct. If baseline Hct >50%, the clinician should with-preserve testosterone remedy till the etiology of the excessive Hct is explained (polycthemia vera, living at altitude, obstructive sleep apnea, tobacco use). While on testosterone therapy, a Hct ≥fifty four% warrants intervention.