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Volume 356:635-637 February 8, 2007 Number 6
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DHEA and Testosterone in the Elderly

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 by Nair, K. S.
To the Editor: In their report on the effects of dehydroepiandrosterone (DHEA) and testosterone when used as antiaging supplements, Nair et al. (Oct. 19 issue)1 conclude that low-dose testosterone replacement in elderly men has no "physiologically relevant beneficial effects on body composition, physical performance, [or] insulin sensitivity." However, this conclusion is premature, since the testosterone replacement administered failed to achieve physiologic testosterone levels throughout the study period (Figure 2 of the article). Moreover, despite the marginal increase in testosterone levels achieved, improvements in fat-free mass, fasting insulin levels, and bone mineral density were observed.

Other studies of testosterone replacement, including . . . [Full Text of this Article]


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