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[PMID: 1648656]( Eussen SJ, de Groot LC, Clarke R, et al

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He views this as part of comprehensive hormone optimization for a man in his fifties who wants to maintain peak performance

This occurs in peripheral circulation and can promote symptoms such as postural orthostatic tachycardia syndrome (PoTS), PEM, fatigue, endothelial cell dysfunction, platelet hyperactivation, mast cell activation, and connective tissue disorders

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is a board certified, spine fellowship trained neurosurgeon who specializes in conservative management, second opinions, and minimally invasive spine surgery