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Replacement therapy can take the form of injectable depots, steroid drug classification uk transdermal patches and gels, subcutaneous pellets, and oral therapy Adverse effects of testosterone supplementation include minor side effects such as acne and oily skin, and more significant complications such as increased hematocrit which can require venipuncture in order to treat, exacerbation of sleep apnea and acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation Another adverse effect may be significant hair masteron trenbolone test loss and or thinning of the dbol images hair This may be prevented with Propecia Finasteride , which blocks DHT a byproduct of testosterone in the body , during treatment Exogenous testosterone also causes suppression of spermatogenesis and can lead to infertility It is recommended that physicians screen for prostate cancer with a digital rectal exam and PSA prostate specific antigen level before starting therapy, and monitor hematocrit and PSA levels closely during therapy. 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