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Prednisone deltasone 20 mg /kg/week) with no observed change in testosterone levels ( ) or testicular volume ). However, in these studies, the total dose of testosterone and dihydrotestosterone, in order to maintain the testicular volume, were about 0.125 g and mg/kg/week (12). Table 5 Low dose testosterone supplementation Study No. of patients Volume (m2) Testosterone Testosterone− 0.2 kg/week (12) 7 0.4 0.5 10 1.0 15 2.5 20 4.6 0.5 25 6.8 ± 1.7 <0.1 10 11.1 0.7 6.5 15 18± 1.2 14.3 <0.1 20 25 ± 1.5 4.2 0.3 38 1.4 15.1 0.4 High dose testosterone supplementation Study No. of patients Volume (m2) Testosterone Testosterone− 0.5 kg/week (6) 5 12 0.8 1 1.5 7 2.0 1.8 11 2.5 2 12 3.5 4 2.7 15 4.1 5 3.3 17 4.75 15 6.5 3.2 Open in a separate window Although the testicular volumes were not compared over time, the only significant changes in volume of the testes were observed in high dose testosterone animals ( ), although it is important to note that in neither group did the testes increase over this period. shows that because it is not possible to have a placebo control with testosterone supplementation at a level that would maintain normal testicular volume all the time, animals in this study would have been expected to an increase in the circulating testosterone level. Although this might explain how testosterone induce the testicular volumes to increase in this study, there are several reasons to believe that testosterone may actually inhibit androgen production. The first is that body able to cope with the deltasone tablets 10mg increased androgen production in presence of increased levels testosterone. The second is that testosterone and growth hormone (GH) appear to suppress the androgen produced by testicles, as well suppressing the growth of testis (13–15), and it was predicted that testosterone and GH would increase the number of testes while inhibiting testosterone. The observed decrease in level of testosterone may indicate the body is not able to cope with the higher deltasone 2.5 mg androgen levels that may be achieved by the high dose of testosterone supplementation in this study. There are several reasons to believe that the higher androgen production observed in the high dose testosterone-treated animals may be an artifact of growth hormone administration. Administration exogenous insulin, IGF-1, IGF-2, and growth hormone to mice causes the amount of body androgen production to decrease (16). Although GH does not affect normal body weight or composition of the animals fed a GH dose of 6 IU/kg/day (17), it was shown to suppress the conversion of testosterone to its active metabolite 17β-estradiol (18). In other words, GH will decrease androgen production (19) and hence inhibit the rate of testicular testosterone production. Thus when looking at the difference between two testosterone levels at 8.5 years of age, we found that the testosterone levels were low and there was no significant difference between testes size during gestation, pregnancy, or lactation. Nevertheless, we should bear in mind that our study was not performed in an adult human population and hence, the effect of testosterone may have been affected by the human female's natural hormone cycle. The conclusion of Dobsch et al. (20) that in humans there is no relationship between circulating androgens and body size of the testes does not follow from this study because we have shown that testosterone has an effect on body size at a later age (40 weeks). CONCLUSION Although these preliminary data indicate that higher doses of testosterone may be sufficient to stimulate production of testicular testosterone without increasing epididymal volume, the data are clearly too preliminary to draw any firm conclusion as to long-term effects. Indeed, it remains at present unclear whether testosterone is required for the masculinization process or whether androgen levels play a causal role in making the testes masculinized and thereby causing testosterone levels to rise (21). In the near future, studies need to determine whether elevated testosterone levels over a long period of treatment will induce changes in testosterone levels the female sex hormone-containing system. prednisone deltasone 20 mg This will potentially help to elucidate whether testosterone can modify the reproductive functions of males or females (22). Furthermore, since testosterone has been implicated in the hypothalamus-induced gonadotrophin-releasing hormone gene transcription, it will be interesting to determine if such long-term alterations in testosterone levels can result sex-specific effects on the hypothalamic output of reproductive hormones.
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