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Treating the Adolescent Endocrine Patient a Delicate Process
Teenagers can be tricky patients to treat. Parents know that, patients who progress through the adolescent years and reflect on their teen years know that, and increasingly, organized medicine is acknowledging it with structured specialties in adolescent medicine. Endocrinologists who treat adolescents need unique communication skills and plenty of patience.
Testosterone has long been known to influence levels of aggression in many species, but new research may finally explain how it works, at least in human males.
Since the discovery that the relative length of the index and ring fingers may reflect fetal testosterone exposure, researchers have spent a lot of time trying to find correlations between digit ratios and medical outcomes, questionnaire answers, and a host of other things.
A pair of studies provides further information about the positive association between testosterone levels and sexual desire and activity in older men.
A meta-analysis of studies on the effect of testosterone supplementation in older men found broad variations in reported increases in muscle mass and decreases in body fat.
Physicians often fail to counsel recovering heart attack patients on whether they are at risk of having another myocardial infarction triggered by sexual activity. In a letter to the Journal of the American College of Cardiology, Dietrich Rothenbacher, MD, MPH and colleagues have reassuring data.
The link between testosterone therapy and cardiovascular risks has been a hot topic of debate, with researchers offering competing evidence and statements supporting or refuting the existence of link between testosterone supplementation and increased cardiovascular risk. Now, physicians from the American Association of Clinical Endocrinologists (AACE) have publicly stated their position on the issue.
Precision medicine's role in the management of hypogonadism is still in its formative stages. Researchers suggest that identifying biomarkers associated with individual patients' treatment responses is possible.
The Food and Drug Administration (FDA) is requiring additional clinical trials on testosterone supplements after revealing that labeling claims about their safety and efficacy are not backed by substantial evidence.

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