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This step is often skipped, but it matters

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It may raise testosterone indirectly if LH rises and the testes respond, but that is not the same as TRT

[DOI] [PMC free article] [PubMed] [Google Scholar] 180.Smith K.J., Bleyer A.J., Little W.C., Sane D.C

Though the etiology of hyerplastic process of BPH is clearly not known, but many partially overlapping and complementary theories have been proposed for the overgrowth of smooth muscle tissue and glandular epithelial tissue like aging: late activation of cell growth [5], defective cell death and hormonal changes