This means it is typically 5 hours behind Coordinated Universal Time (UTC-5) during standard time and 4 hours behind (UTC-4) during daylight saving time

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How well the treatment is working is checked by looking at blood counts and symptoms
The key clinical question is whether the pituitary is the bottleneck
Titration should rely on objective measures, including semen analysis for concentration and progressive motility, and serial hormone panels that include LH, FSH, and testosterone
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