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Potential Side Effects of TRT Elevated red blood cell count (polycythemia) Acne or oily skin Fluid retention Testicular atrophy (often managed with hCG) Mood fluctuations during dose adjustments Potential fertility impacts (reversible with appropriate protocols) Complementary Therapies Other therapies may also support muscle growth and recovery depending on lab results: hCG (human chorionic gonadotropin): Stimulates the testes to produce testosterone naturally, often used alongside TRT to maintain testicular function and fertility

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However, some NSAIDs, such as naproxen, are also available in prescription strength for more severe conditions

This can increase gas production as bacteria break down certain foods, releasing hydrogen sulphide gas that causes the characteristic rotten egg odour

Veldhuis JD, et al