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To find out if sperm count is normalized in men using hCG plus TRT, several studies have found that 17OH-P blood level is correlated to intratesticular testosterone (ITT) required for the testicles to make sperm, so testing for this hormone could not only save time while optimizing HCG dose/frequency but also eliminate the need to perform testicular aspirations, a very difficult procedure to do

All patients started mecasermin at a dosage of 40 mcg/kg SC twice daily, the recommended starting dosage in the product monograph

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The benefit of GLP-1 medications is that they dont require daily doses or even coming back into our office