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The International Society for the Study of Women's Sexual Health (ISSWSH) 2019 position statement supports testosterone therapy for HSDD when prescribed at physiological doses with monitoring of serum testosterone levels

These usually diminish as your body adjusts to the medication

While you may feel a brief pinch, the process is generally well-tolerated, and any discomfort is minimal

Le-Vel likely recommends continuous use to maintain sales, but cycling off periodically might prevent tolerance while saving money

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