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Why the Achilles Becomes Sore and Stays Sore Repetitive overload and microtears trigger failed healing, swelling of tendon fibres and, over time, degenerative change

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Immediate endocrinology referral is warranted for patients with very low testosterone levels accompanied by normal or low LH/FSH, elevated prolactin, or symptoms such as headaches or visual disturbances that might suggest pituitary dysfunction