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Govindaiah G, Kang YJ, Lewis HES, Chung L, Clement EM, Greenfield LJ Jr, et al

The mechanism mainly involves increased androgen synthesis in the ovaries and adrenal glands, along with a decrease in sex hormone-binding globulin (SHBG) levels, further increasing free androgen bioavailability ( Figure 2 )

Go to the ER instead if you experience chest pain, confusion, inability to stay awake, seizures, vomiting blood, severe tremors or hallucinations, or slow breathing

Knopf J, Leppkes M, Schett G, et al

Raj Thethi - Medical Reviewer Dr

Symptoms, goals of therapy, risks vs benefits should be discussed with a healthcare provider to determine the therapeutic modality that would be most appropriate