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Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia

Symptoms include: Persistent fatigue and lack of motivation Decreased libido or erectile dysfunction Loss of muscle mass and strength Weight gain and slower metabolism Mood changes, irritability, and poor focus Reduced bone density A meta-analysis published in Clinical Endocrinology confirmed that TRT significantly increases lean body mass and decreases fat mass in hypogonadal men (Corona et al., 2016)

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Many people with obesity are insensitive to these signals due to years of metabolic dysfunction
