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TRT is also not recommended if you have heart issues including: Uncontrolled heart failure A recent heart attack (within six months) Untreated high blood pressure Patients with other cardiac issues, if well managed, may be treated but require close cardiac monitoring, says Staheli TRT may also not be advised if you have sleep apnea

These findings underscore the diagnostic accuracy and prognostic relevance of NT-proBNP and BNP in integrated cardio-renal-metabolic assessment, supporting their role in precision medicine approaches for multisystem disease management

This limits titration options and may not provide sufficient dose for patients who require higher amounts

Neurobiology 61 (2), 11871201