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Viagra is back for season 6 with the AAR organizing the league again, this time a Super League or rather a Super Cup. The Super Cup is made up of 30 Charters that will run a full time and 21 Opens Teams that will try to qualify for each race and only 8 will go on to the race giving a total of 38 per race, starting in the Clash at the LA Coliseum until the final in Auto Club, the 3-time champion Jason Brown will try to defend the title but this season the competition seems to be more difficult, who will be the champion?
Excel Link (Season 6): https://docs.google.com/spreadsheets/d/1AGnJIafnAQpNw4VlAX6ZQhVpWSN2ap6wch1KGnbfnWI/edit?gid=2002735477#gid=2002735477
Old Seasons:
https://drive.google.com/drive/folders/1iTiKS3KuDu9NQ5B3vcuWIKs3cvmxKiTk?usp=sharing
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Dr. Girish Nelivigi | Phone 📞 : +91 70222 09038 / 08048668768 (Online & in-person appointment can be booked online or by call) Consultant Urologist and Andrologist | Nelivigi Multispeciality Hospital, Bengaluru, India
Today I'll be talking on testosterone. Testosterone is the male sex hormone which is responsible to maintain libido or the sex drive and also for normal erection in the male it is also needed for the fertility functions. Many people come to me with decreased libido with erectile dysfunction and fertility issues in such people we do serum testosterone levels or the estimation of testosterone in the blood to see if it is normal or abnormal. Sometimes we find that it is abnormal or low now what are the causes of low testosterone levels. Low testosterone levels are primarily because of some problem in the testes. The testicles or the test are responsible for production of the testosterone and any damage to the test or any chronic disease in the test is responsible for low production of the testosterone. There could could be some problems in the brain also which are responsible for the low production of testosterone. This is because there are sentence in the brain which give signal to the testis to produce testosterone so any problem in the brain like there could be some congenital abnormalities or there could be some acquired abnormalities like some tumors chronic infections etc in which the brain does not send sufficient signals to the testes to produce testosterone. So these are the two common causes why testosterone levels are low. Ofcourse there are other causes for those diseases wherein there is a problem with the receptors where the testosterone is normal but it doesn't work because of problem with the receptors. But they are rare situations and we usually don't see them commonly in the clinical practice. Now what to do once we find the testosterone is low? We find the cause that's the most important thing and we treat the cause if possible and also replace testosterone so that it attains normal blood levels serum levels. This is called testosterone replacement therapy or TRT. TRT can be done either by giving tablets testosterone tablets to the patient or by giving injections the tablets have to be taken every day on a long-term basis and the injections are given in preference to tablets the reason. Why we prefer injection to tablet is there are depot preparations which means to say that we give those injections once in a few months. For example we give them sometimes once in 2 months or 3 months because the serum levels are achieved for the next 3 months once an injection is given. Also there are some oral preparations which pass into the blood and are metabolized in the liver. So some of them may have liver problems if consumed on a long-term basis. That is the reason why we prefer injectable testosterone as compared to oral testosterone preparations. Of course testosterone replacement therapy can be done indirectly also without without giving testosterone by giving some precursor hormone injections like HMG HCG etc which are given as injections and which stimulate the body to increase the level of testosterone in the body. So they are given in different situations and for different purposes. So this is about testosterone decrease and testosterone replacement therapy for erectile dysfunction and other sexual disorders.
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