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Our study has limitations that need to be acknowledged including the retrospective study design and the relatively small sample size despite screening an initial cohort of over 1000 samples sent for ammonia testing

The conclusions: After one year, 64 patients who werent taking testosterone supplements suffered major adverse cardiovascular events, while only 12 who were taking medium doses of testosterone and nine who were taking high doses did

Note: The above statements have not been evaluated by the Food and Drug Administration

[7] [8] This pathway is influenced by the gut microbiome, as intestinal bacteria modify bile acid composition