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Pi-Sunyer, X., Astrup, A., Fujioka, K., Greenway, F., Halpern, A., Krempf, M., Lau, D

Excess body fat can disrupt male hormone balance, causing researchers to allege that obesity is the clinical condition most strongly associated with lowered testosterone concentrations in men. More importantly, suppressed testosterone resulting from carrying too much body fat is a strong predictor of needing testosterone replacement therapy, or TRT, in the future

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Arai, T., Takeyama, N