Alexus Hyman has made a social media post about her involvement in a car accident. On March 29th, at 6:30 AM, Alexus was involved in a terrible car accident that could have ended in tragedy. However, she credits her faith for her survival, expressing gratitude for God’s mercy and protection.
The accident was severe enough to total Alexus’s car, but she walked away with her life. The Princeville Fire Department and Tarboro PD responded promptly to the scene, earning Alexus’s heartfelt appreciation. Their swift action and professionalism undoubtedly contributed to the positive outcome.
The accident left Alexus’s loved ones worried, but she reassures them of her well-being. She acknowledges the fear and uncertainty she faced during the incident but is now focused on recovery and expressing gratitude.
Alexus concludes her message by thanking her family, friends, and the emergency responders who helped her. She asks for continued prayers as she recovers from the ordeal.
One of the primary treatments for low testosterone
is Testosterone Substitute Remedy, or TRT. Testosterone boosters are both prescription medications or dietary dietary supplements intended
to raise your testosterone ranges. The dietary supplements are marketed to males and females as a “pure” approach to increase the
male sex hormone testosterone within the physique.
Little scientific proof exists that these supplements increase testosterone ranges or provide benefits like elevated energy or sexual perform.
In abstract, the impact of combination therapy with T plus PDE5-Is for males with erectile
dysfunction and hypogonadism most likely depends
on the specific diagnosis and patient response to
PDE5-Is.
With Out enough testosterone, a person could lose their intercourse
drive, experience erectile dysfunction, really feel depressed, have a
decreased sense of well-being, fatigue, and have problem concentrating.
The most typical cause of ED is decreased blood flow to the penis
as a end result of continual conditions similar to hypertension, high ldl
cholesterol, and hardening of the arteries. An analysis of how testosterone drugs have an result on erectile dysfunction reveals necessary
insights. Research exhibits that men with higher ratios of complete testosterone have a lowered incidence of Alzheimer’s disease.
There’s additionally proof for a robust correlation between testosterone and pondering abilities corresponding to verbal memory and quicker processing pace.
Testosterone treatment for males 34 to 70
years old has proven an enchancment in spatial memory.
Metformin is an oral diabetes medicine used along with food plan and exercise to improve blood sugar …
When testosterone is simply too low, these signals will
not be sturdy sufficient, and ED can occur. It happens when a man has issue getting or keeping an erection firm sufficient for sexual exercise.
Some of these are related to physical health, while
others are linked to mental health.
Nevertheless, a subsequent examine showed that taking three grams of D-aspartic acid did not have an result
on testosterone ranges. A recent study discovered that it may improve levels of follicle-stimulating hormone and luteinizing hormone.
Both of those could stimulate the body to
release extra testosterone. Penis pumps are a medical device that helps your penis to achieve an erection.
Sufferers must be cautious of mixing this drug with others, particularly nitrates.
A physician can present steering on whether avanafil is a suitable selection primarily based
on particular person well being and life-style. Stress, anxiety,
and despair can intervene with sexual efficiency. Medications for other health points could classify ED as a side effect.
If it looks more likely that a mental or emotional concern is
the supply of the problem, your doctor will ask you commonplace questions on your psychological well-being.
These questions assist them examine for despair,
nervousness, and other widespread causes of erectile dysfunction.
A testosterone supplement will work for you if you want to eliminate your
physique fats rapidly. With a direct testosterone administration, your physique could be fooled into producing much less
of these hormones. These supplements must also not be utilized by adolescents
who are underneath the age of 18 and pregnant or breastfeeding women. Test boosters don’t immediately
provide the body with more testosterone.
Pycnogenol might make autoimmune ailments worse by stimulating the immune system.
It may sluggish blood clotting and decrease
blood sugar to dangerous ranges. Pycnogenol is taken into account “probably secure” in day by day
doses between 50 mg and 450 mg for as a lot as
a 12 months of use. This product is an antioxidant; it is believed to enhance
circulation and athletic efficiency.
As A Result Of cardiovascular disease and hypertension can be major danger
elements in sexual dysfunction, some consultants believe that bettering heart function with vitamin B9 may additionally assist improve erectile
function. After all, good blood move and circulation to the penis
are essential for reaching and sustaining an erection. Different important historic clues include prior pelvic
surgical procedure or the speedy lack of an erection quickly after the initiation of sexual activity, which could recommend both nervousness or a venous leak.
On bodily examination, evidence of neuropathy or testicular atrophy would
recommend systemic disease such as diabetes or hypogonadism.
When contemplating the efficacy and risk of any dietary complement, including vitamin D3, it’s
necessary to know that whereas it can offer important health advantages, individual responses might differ.
Due To This Fact, ongoing session with your healthcare supplier is crucial to manage any potential dangers and ensure the greatest outcomes
in your well being. Testosterone substitute therapy
or TRT is assured to extend testosterone levels.
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That implies that getting a great evening’s sleep will increase your testosterone ranges and in addition helps with each different operate your physique does.
Predictably, a diet excessive in protein aids in preserving your testosterone levels excessive.
Scientists also imagine that testosterone ranges can also have a function to play in how good your memory is.
The larger the levels of testosterone found in the body, the extra efficient your physique turns into at synthesizing proteins.
Increased protein synthesis results in a lot better muscle mass acquire and strength.
Testosterone is a hormone primarily produced within the testes of men and,
to a lesser extent, the ovaries of women.
If you are experiencing symptoms of low testosterone, similar to erectile dysfunction or a loss of libido,
it might be value talking to your physician about
different causes, such as stress, melancholy and anxiety.
Creatine supplementation is better for muscle progress, especially in the short
time period, by enhancing workout performance and aiding in restoration. When you regularly take it earlier than a exercise, then it may
let you lift heavier weights. Now, when you have measured low testosterone levels, then a T-booster might be essential.
Nevertheless, it’s important to notice that this product is in all
probability not suitable for everybody, and males with sure medical conditions or those taking sure drugs ought to consult with their physician before
using this product. It is better to look for trustworthy reviews that embody private anecdotes of how their lives have changed
thanks to that testosterone complement.
Zinc permits men to manage their hormone ranges, serving to to enhance their mood
and mental well being. One of the principle reasons why folks take Testosterone boosters is to
provide them the power and power to excel on the gym.
TestoLab is all-natural with elements backed by science and peer-reviewed
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get older. All of TestoPrime’s elements are backed by scientific studies and
are organic and non-GMO.
These kits use blood samples to measure biomarkers, similar
to traditional lab methods. By clicking on the product
hyperlinks in this article, we may obtain a fee fee at no
cost to you, the reader. Sponsorships and affiliate commissions
assist support our research so we might help you find the best merchandise.
STEEL Alpha-AF is a prime recommended PCT complement to
make use of after a cycle of Testosterone boosters. There have been quite a few studies performed on the impact of masturbation or ejaculation on ranges of T discovered in the body.
HMB is responsible for a few of the beneficial results of protein and
leucine in the food regimen. It may be especially necessary for reducing the breakdown of muscle proteins.
Though they may be beneficial if your food regimen is inadequate, more data is needed before BCAAs are beneficial as a go-to supplement for muscle
gain. Weight gainers are excessive calorie products designed that can help you eat extra energy and
protein. Nevertheless, they’re solely beneficial in case you have problem getting sufficient energy from meals.
There are sometimes seventy five to 300 g of carbs, 20 to
60 g of protein, and zero to 15 g of fat per serving in these high calorie supplements.
Though the calorie contents of weight gainer supplements vary,
it’s not uncommon for some to comprise greater than 1,000
calories per serving.
For many, the wrestle with excess estrogen production and
the search to stability hormone ranges is a real concern. Nugenix Estro-Regular is like that intriguing
new kid on the block in the world of estrogen-blocking dietary supplements.
A lower estrogen means you start feeling like an alpha male
once more by way of sexual prowess, confidence and bodily power.
Each bottle of Androsurge is manufactured in a cGMP-approved facility
using extremely bioavailable components.
Your physique makes the hormone whilst you sleep, and your
levels are normally highest first thing in the morning.
Analysis exhibits peak production happens after 3 hours of deep sleep,
so ensure you get enough uninterrupted sleep
to reap the advantages of this natural increase.
A constant lack of good-quality sleep can even lead to weight acquire, which might reduce your testosterone production. These are supplements that include things like nutritional vitamins, minerals, and herbs that are meant to improve your body’s pure production of testosterone.
Thus, testosterone may be thought-about a complementary stacking partner,
as it’s an androgenic steroid, so DHT levels will stay excessive throughout
a cycle. Deca Durabolin isn’t as powerful as testosterone, so
will increase in muscle hypertrophy are unlikely to be extreme.
Nonetheless, due to Deca Durabolin’s mild toxicity, it can be a complementary stacking element.
This is partly due to Dianabol being a potent oral steroid, which is well known for worsening cholesterol levels because it
stimulates hepatic lipase in the liver. Naturally, this cycle can improve the degree of
unwanted side effects compared to the beginner protocol.
Thus, testosterone suppression is prone to be heightened post-cycle,
as are water retention, cholesterol, and the risk of gynecomastia.
Nolvadex blocks estrogen, specifically within the mammary glands,
while maintaining estrogen levels circulating throughout the
physique.
Most testosterone boosters you can buy over-the-counter are perfectly authorized to purchase.
Nevertheless, when you compete in organized sports activities, you’ll have to be additional careful about what is steroid used for [Teri] you set in your physique.
The sweet spot for testosterone manufacturing appears to be average to heavy weights (about 70-85% of your one-rep max) with
reasonable quantity (3-5 sets of 6-12 reps). This depth level creates enough mechanical tension to
stimulate growth with out overtaxing your restoration techniques.
They contain elements which will help your physique produce a bit
extra of its own testosterone naturally. The results are sometimes much more modest—think small enhancements rather than dramatic changes.
And maybe most impressively, it promotes the dedication of mesenchymal pluripotent cells to
myogenic lineage – in plain English, it helps direct stem
cells to become muscle somewhat than fat. Mixed with train, this elevated stage of testosterone
will allow you to build your muscle mass and bone strength.
Testosterone manufacturing in your body could be increased by way
of the meals you eat.
And that’s why it’s so important you do
everything you can to ensure your testosterone continues performing
as effectively as potential. Her work has appeared within the Big Apple Post,
Men’s Journal, Rolling Stone, Oprah Every Day, Insider.com,
Architectural Digest, Southern Residing, and more.
She’s most likely seen Dave Matthews Band in your hometown, and she’ll by no
means flip down a bloody mary. If you’re looking to
add pomegranate juice to your food regimen, take care
that it’s 100 percent pomegranate juice with no added
sugar. “You can also add pomegranate arils to smoothies, salads, yogurt, oats, and even roasted veggies,” Yawitz says.
Some clients report that the top of the container doesn’t all the time seal tightly,
which may cut back its shelf life. A few customers complain of worsened bloat and
gas after taking this supplement. It’s important to watch for symptoms when taking any probiotic supplement.
All Now Meals probiotics are CGMP licensed, making certain that
high quality management measures are adopted.
Any day that you just don’t get 20 minutes of direct daylight in your pores and skin, you wish to supplement with
5,000 worldwide models of vitamin D3. Refined grains have a low nutritional value, and studies show that,
like sugar, they’ll negatively influence blood sugar levels and result in insulin resistance.
We know that diabetes may cause low testosterone levels, which is why it’s a lot better to stay to advanced “good” carbohydrates.
If you presumably can follow these steps, you will see great ends in naturally boosting
your testosterone ranges. If you need to normalize your hormone ranges and naturally boost your testosterone, the first thing you want to do is kick the sugar
habit instantly.
They have excessive quantities of fat-soluble vitamins, which might be able to considerably raising your
testosterone levels. From the age of 30 years onwards, there could be
roughly a 1% drop in total testosterone ranges annually [1].
This is an important group of meals, together with
broccoli, cauliflower, Brussel sprouts, kale, turnips, and cabbage.
A examine in rats confirmed a rise in each testosterone levels and antioxidant ranges after simply 30 days
of ginger consumption [12]. We have already discussed the advantages of boosting the two important
minerals, and consuming loads of beans is an affordable, healthy, and engaging approach to up your T
levels [3] [4]. These long-chain fatty acids have lengthy been identified to have many health benefits.
No foods contain testosterone, however some compounds and nutrients in sure foods help to increase levels or lower them naturally.
Here are 20+ testosterone-boosting foods and testosterone-lowering foods you may wish to control.
Most folks know that ginger can add a satisfying zing to meals and drinks.
But they could not notice that ginger may impact testosterone.
How they’re packaged or canned additionally matters—to
shield the meals, they’re lined with bisphenol A (BPA), a chemical that’s
used to create plastics and resins.
In addition, they reported lower stress ranges
and a sense of wellbeing, both key to helping to boost testosterone.
Beans (lentils, chickpeas, and legumes in general) are key to a plant-based healthy diet.
We know that vitamin D plays a job in testosterone production, so a tall, chilled glass of the milk of your choice is an effective way to add further D
nutritional vitamins to your food plan [2]. Shellfish are wealthy in hint elements such as zinc
and magnesium and have been discovered to significantly boost T levels [4].
An easy and effective method to help your body make all
the testosterone it needs is to make sure it is nicely provided with all the constructing blocks it needs.
Still, it’s excessive within the enzyme
“bromelain,” which is especially useful in elevating the male hormone profile.
Usually talking, vegetables are considered an excellent supply of nutrients to take care of total well being.
In particular, leafy green vegetables are rich in magnesium, iron, folate, fiber,
calcium, and potassium, which make them a natural testosterone booster.
Full-fat dairy can enhance testosterone due to its saturated fats content, but
overconsumption of low-fat dairy products would possibly contain hormones that suppress testosterone.
This suggests that the quick reduction may be associated to nutrient intake normally, quite than particular elements of milk.
The medical significance of those short-lived fluctuations remains unclear and
is unlikely to have a substantial impression on general testosterone
ranges. Recognized as a superfood, maca is a Peruvian root that
has lengthy been used to increase energy, stamina, power,
fertility, and libido (for men and women). Whereas analysis continues to
be wanted, maca root might alleviate SSRI-induced sexual dysfunction, including having helpful effects on libido.
Having a wholesome intercourse drive is linked to feeling bodily and emotionally healthy, so it’s no surprise that the meals you eat play a role in boosting your intercourse
life. While meals that enhance sex drive can play a role in a robust sexual want, most of the research has much less to do with libido and more to do with sexual performance.
Fenugreek is one other herbal extract with a longstanding medicinal
historical past, typically used as a pure treatment
for low testosterone ranges. Research have shown fenugreek’s ability to extend testosterone ranges,
help muscle progress, and enhance libido.
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Une carence peut aggraver l’impression du stress sur
la testostérone, selon le Journal of Diet. Les protéines riches en tryptophane jouent un rôle clé en stimulant la production de
mélatonine, l’hormone qui régule le sommeil. Pour en maximiser l’effet,
combinez-les avec des glucides complexes tels que le riz complet ou les
patates douces. Une fois vos horaires de sommeil bien établis,
l’alimentation devient un outil puissant pour aligner votre repos avec votre production hormonale.
Maintenant que nous avons établi que dormir plus permet d’augmenter le taux de testostérone, vous
vous demandez probablement pourquoi c’est important.
Les hommes avec des niveaux de testostérone inférieurs signalent souvent une fatigue accrue, un manque d’énergie et des difficultés à maintenir le
sommeil. La faible testostérone peut entraîner une diminution du sommeil paradoxal, affectant ainsi la qualité globale et la durée
du sommeil, explique le Dr Sarah Johnson. Cela se manifeste souvent
comme de l’insomnie ou d’autres troubles du sommeil,
ce qui a un impression sur le fonctionnement quotidien. Lorsqu’il
s’agit de maintenir une santé optimale et d’améliorer sa qualité
de vie, la testostérone joue un rôle essentiel, notamment chez les hommes.
Cependant, avec l’âge, la production de testostérone
have a tendency à diminuer, ce qui peut entraîner divers problèmes
de santé et de bien-être. Dans cet article, nous explorerons des moyens simples et naturels d’augmenter sa testostérone, vous aidant
ainsi à rester en forme et en bonne santé.
Un faible taux de testostérone affecte le bien-être et l’énergiePourtant, pour maintenir ces niveaux, il est necessary de conserver une bonne quantité et une bonne qualité
de sommeil.
Pourtant, on constate qu’une majorité d’entre eux possède
un pénis de taille normale, en dépit de la vision biaisée qu’ils en ont.
La masturbation en tant que telle n’est pas malsaine pour le corps et la
sexualité. Elle peut permettre au sein du couple de mieux vivre sa sexualité, si des différences de
désir existent ; automobile nous ne sommes pas toujours sur la même échelle,
et c’est regular. Une masturbation excessive est souvent
le symptôme d’un stress qui, lui, peut induire des problèmes d’érection. Et
le risque est de cumuler la masturbation avec un visionnage trop important de porno.
Une bonne gestion de votre emploi du temps, comme limiter l’exposition aux écrans le soir, peut aussi aider.
L’Worldwide Journal of Environmental Analysis rapporte une amélioration de 22% de la qualité
du sommeil grâce à une déconnexion numérique en soirée.
Si vous ne pouvez vous entraîner qu’en soirée, terminez au moins ninety minutes avant de dormir.
Prenez un repas post-entraînement (25 g de protéines et 50 g de
glucides) dans les half-hour pour optimiser la récupération et soutenir la manufacturing de testostérone.
« Nous devons également rechercher les causes des troubles du sommeil, comme
l’apnée du sommeil, chez nos sufferers souffrant d’un taux de testostérone bas ».
Chez les hommes âgés, la réduction progressive des heures de sommeil a été étroitement corrélée
à une baisse progressive de la testostérone. marquage des récepteur à La testosterone
(Globaljobsfinder.com) études ont montré que les hommes ayant un faible
taux de testostérone, en particulier les hommes âgés, ont tendance à avoir plus de difficultés à dormir.
Chaque jour, les auteurs analysent et mettent en perspective
les résultats de dizaines d’études scientifiques et médicales.
Vous y trouverez des informations originales et innovantes,
souvent exclusives, dans les domaines de la prévention, la vitamin, l’environnement.
J’ai vu des hommes sportifs s’étonner de
perdre leur définition musculaire malgré un entraînement fixed.
D’autres s’inquiétaient d’une prise de poids localisée
au ventre, résistante aux régimes. Ces signes, apparemment anodins, peuvent
révéler un déficit en testostérone méritant une attention médicale.
Les sujets étaient exceptionnellement sains, comme cela est reflété dans le
tableau ci-dessous.
Ces horaires correspondent à notre cycle naturel,
une période où la production de testostérone atteint son maximum,
notamment entre 3h et 8h du matin. Ce cycle est également lié au cortisol, une hormone dont l’équilibre peut être influencé par certains compléments (voir
section 6). Mais résistez à l’envie de croire à toutes les publicités télévisées promettant un traitement rapide.
Vous pouvez favoriser naturellement une meilleure production de testostérone et prévenir
la détérioration qui accompagne le vieillissement en consacrant plus de temps au sommeil.
En outre, il est recommandé de consulter régulièrement un professionnel de santé pour évaluer
les niveaux de testostérone et ajuster si nécessaire le traitement ou les compléments
utilisés.
Donc, si tu ressent souvent du stress, il y a de fortes possibilities que ton sommeil soit
en péril. Sacrifier ton sommeil pour gagner quelques heures de travail supplémentaire est une erreur.
Cela mine ta capacité à produire, affecte ta vitalité et te prive
d’une testostérone essentielle pour ta santé.
Si vous dormez sept heures par nuit mais que vous vous réveillez fatigué, il y a de fortes possibilities que la qualité de votre sommeil soit insuffisante.
Selon la National Sleep Foundation, un bon sommeil implique de s’endormir dans la demi-heure qui suit le lever du lit, ne pas se réveiller
plus d’une fois pendant la nuit, et ne pas rester éveillé plus de 20 minutes au whole après s’être endormi.
Une abstinence prolongée peut causer une diminution temporaire des niveaux de testostérone.
Assurez-vous de maintenir une vie sexuelle active pour équilibrer vos niveaux hormonaux.
En parallèle, la diminution Augmentation Naturelle De La TestostéRone Par L’alimentation
de la mélatonine avec l’âge crée un environnement défavorable pour un sommeil
réparateur. Une étude présentée lors de la réunion américaine d’urologie en 2012 a évalué brokers de police masculins pour voir s’il y avait une affiliation entre l’apnée du sommeil et un faible
taux de testostérone. Environ 38 % des hommes présentaient un faible taux de
testostérone, et forty three % étaient considérés comme souffrant d’apnée
du sommeil. Les hommes souffrant d’apnée du sommeil avaient près de 50 % plus de possibilities
d’avoir une faible T que les hommes sans apnée du sommeil.
Un sommeil insuffisant ou de mauvaise qualité peut perturber la manufacturing d’hormones et
entraîner des déséquilibres dans les niveaux de
testostérone. Les niveaux de testostérone fluctuent tout au long
de la journée et sont influencés par plusieurs facteurs,
notamment le cycle de sommeil. Une bonne qualité de sommeil est donc essentielle pour maintenir des
niveaux optimaux de testostérone dans le corps.
Les changements de mode de vie, associés à des traitements
médicaux appropriés, peuvent aider à restaurer l’équilibre hormonal et à améliorer le bien-être
général. Si vous pensez souffrir d’une carence en testostérone, il est essential de
consulter un professionnel de la santé pour un diagnostic et un traitement adaptés.
Le stress chronique, le manque de sommeil, une mauvaise alimentation et le manque d’exercice peuvent également contribuer à la carence en testostérone.
Le mode de vie moderne, qui peut être stressant et peu actif, a un impact direct sur la santé hormonale.
Pour améliorer la qualité de votre sommeil, envisagez d’intégrer des pratiques favorisant l’équilibre hormonal.
Si les changements de mode de vie ne suffisent pas à améliorer les niveaux de testostérone, le médecin peut recommander
une thérapie de remplacement. Ce traitement doit être supervisé par un médecin, automotive il comporte certains risques et
effets secondaires potentiels. Dans certains cas, ces symptômes peuvent indiquer un manque de testostérone chez l’homme.
Le point avec le Dr Jean-Michel Lecerf, médecin nutritionniste,
spécialiste en endocrinologie et maladies métaboliques.
La privation de sommeil diminue non seulement
l’énergie et le bien-être général, mais elle entraîne également une réduction significative de
la production hormonale. La durée idéale de
sommeil pour maintenir des niveaux de testostérone sains varie d’une
personne à l’autre. En général, les adultes ont besoin de 7
à 9 heures de sommeil de qualité par nuit.
Dans le contexte d’une société où la privation de sommeil est courante, la compréhension de cette connexion est essentielle pour maintenir une santé optimale.
Un mode de vie sain et équilibré a un impact significatif sur la production de testostérone.
Des habitudes de vie saines, telles qu’une alimentation équilibrée,
riche en nutriments essentiels, l’exercice régulier et la gestion du stress,
favorisent des niveaux optimaux de testostérone. En revanche, des habitudes de vie
malsaines, comme une alimentation déséquilibrée, le manque d’activité physique et le stress excessif, peuvent entraîner
une diminution de la manufacturing de testostérone. La query de savoir si la privation de sommeil peut entraîner
des changements permanents dans la testostérone est une préoccupation qui résonne avec beaucoup.
Au plus les hommes dorment bien, au plus leur niveau de testostérone
augmente alors qu’ils dorment. De la sorte, les
médecins pourraient déjà conseiller aux diabétiques qui réagissent mal à
leurs médicaments de dormir plus. « La durée du sommeil pourrait
devenir une autre cible thérapeutique pour améliorer
la glucorégulation du diabète de kind 1 » affirment les chercheurs néerlandais.
Des études montrent que des siestes plus longues peuvent perturber le sommeil nocturne et réduire
les niveaux de testostérone au réveil. Se coucher entre
22h et 23h et se réveiller entre 6h et 7h permet de respecter le rythme circadien.
Le sommeil, loin d’être un luxe, est un élément central de ta productivité et de ta drive physique.
Si tu cherches à améliorer la qualité de ton sommeil, des suppléments comme le magnésium ou la
mélatonine peuvent t’aider à atteindre un sommeil
plus profond et réparateur. Ces conseils s’intègrent parfaitement à votre routine d’exercice (section 3) et vous préparent à mieux relever les défis
hormonaux évoqués dans la part suivante.
De plus, il a été observé que les niveaux de testostérone des femmes
ont tendance à diminuer avec l’âge, contribuant aux troubles du sommeil
couramment trouvés chez les femmes ménopausées.
Cette diminution n’est pas seulement une simple statistique;
Il a des effets tangibles sur la vie des femmes. Par exemple, une femme de 45 ans nommée Sarah, de Londres,
a connu l’insomnie et a été constatée avoir abaissé les niveaux de testostérone.
Son médecin a attribué ce changement aux changements hormonaux et l’a traitée avec une combinaison de changements de style de vie et d’hormonothérapie.