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Risk of abuse/misuse : Testosterone can be misused for performance enhancement, leading to serious cardiovascular and psychiatric side effects
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The reduced form accounts for the majority and plays a key role under physiological conditions
The more clinically important question is how often this produces meaningful perioperative harm, which patients are at highest risk, and how clinicians should balance aspiration prevention against the metabolic, cardiovascular, logistical, and equity-related consequences of withholding therapy
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