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Order to confirm the cause of hypogonadism (primary, secondary, or mixed) [19, 20]. Hypogonadotropic hypogonadism, caused by high levels of. Prior use of anabolic androgenic steroids (aas) is common among young men seeking treatment for symptomatic hypogonadism, according to. Steroids are a general class of agents that all have the steroid ring in common. Primary or secondary hypogonadism. Prolonged catabolic state secondary to long-term use of corticosteroids
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