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Symptoms include: Persistent fatigue and lack of motivation Decreased libido or erectile dysfunction Loss of muscle mass and strength Weight gain and slower metabolism Mood changes, irritability, and poor focus Reduced bone density A meta-analysis published in Clinical Endocrinology confirmed that TRT significantly increases lean body mass and decreases fat mass in hypogonadal men (Corona et al., 2016)

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This creates a design challenge: redox modulation must be targeted in space and time to avoid global suppression of ROS signaling, which may reduce therapeutic efficacy ( 4.2 Healthy-tissue antioxidant shielding and the antioxidant paradox Many standard therapies cause systemic oxidative injury (e.g., cardiotoxicity from anthracyclines), prompting antioxidant shielding strategies ( 4.3 Safety implications of dual redox programming The same formulation feature that is attractive for tumor sensitization, namely, prolonged intracellular residence or stimulus-linked release, can magnify liability when exposure occurs in non-target tissues

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