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Avoid Heat and Friction: Refrain from hot showers, hot tubs, and tight clothing after treatment

doi: 10.1016/j.jns.2011.07.028 113 KassmannC

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A 2025 matched-cohort study found men who started testosterone therapy had significantly higher rates of tendon tears and repairs at one and two years compared to controls, a pattern the authors attributed to testosterone's effect on tendon biomechanics outpacing the tissue's regenerative capacity Sherman et al