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No, because it doesnt interact with the HPG axis, it doesnt cause the negative feedback loop that leads to testicular shutdown or testosterone suppression

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J., Mehrali, M., Sookhakian, M., & Hamdi, M., et al

It's offered through clinician-guided telehealth: you complete a medical intake, a licensed provider reviews whether it's appropriate for you, and if approved, your prescription ships to your door