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This is due to the aforementioned negative feedback loop, where the increased testosterone levels signal the body to reduce the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), both of which are crucial for sperm production

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Investigation of suspected hyperthyroidism includes thyroid function tests (TSH, free T4, and sometimes free T3), and thyroid receptor antibodies (TRAb) where autoimmune disease is suspected

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Either way, medication shouldnt be the sole change you make

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Because symptoms can overlap with neuromuscular and endocrine conditions, diagnosis should focus on the whole clinical picture rather than one lab value alone

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