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Testosterone deficiency may occur in a severe, chronic pain patient due to over-stimulation and hypofunction of the hypothalamic-pituitary-adrenal-gonadal axis or by chronic administration of opioids which may suppress the hypothalamus and pituitary. The drugs group Nandrolone inhibit the production of gonadotropins and leads to a decrease in the level of endogenous testosterone that prevents rapid recovery after the cessation of the Cycle. Changes in the male reproductive system are often reversible, if anabolic steroids have not been abused for a long period of time. Former bursary student hits a six and lands top job at WPCA.

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