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This finding is clinically significant for a patient population like ours in Doral, where the majority of patients present with Fitzpatrick III, IV, and V skin tones

By reducing body fat and improving insulin sensitivity, they address the aromatase-driven suppression at its source allowing the hypothalamic-pituitary-gonadal axis to recover naturally, without substituting external testosterone for the body's own production

Dysfunctions in these pathways can lead to cellular iron overload

Acetylcysteine (NAC) Mucolytic & Antidote Indication: Paracetamol (acetaminophen) toxicity Dose: 150 mg/kg loading (follow protocol) Route: IV Monitoring: Liver Function Tests (LFTs) Side Effects: Nausea Precaution: Watch for anaphylactoid reactions Key Point: Replenishes glutathione protects liver from toxicity 4