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Elevated hematocrit Concerning PSA findings Significant urinary symptoms Recent serious cardiovascular events Untreated severe obstructive sleep apnea Fertility goals that could be affected by testosterone Unexplained laboratory abnormalities The Endocrine Society advises against beginning testosterone in several higher-risk circumstances without appropriate evaluation, including certain PSA findings without urologic assessment, elevated hematocrit, untreated severe obstructive sleep apnea, recent myocardial infarction or stroke, and near-term fertility plans
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