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Question
A 55 year old patient is administering testosterone enanthate, 50 mg sub-cutaneous injection, once weekly. He returns at the appropriate time for a routine lab draw and his testosterone is rechecked. It returns 250 ng/dl (normal 300-1050 ng/dl). He is tolerating the formulation just fine and states he is feeling "a little" more energetic but hasn't noticed too much improvement in his erectile dysfunction. Which of the below is the most appropriate next step?
Increase his testosterone enanthate to 75 mg once weekly and co-prescribe testosterone 1.62% gel, 20.25 mg application daily Maintain his current dose Increase his testosterone enanthate to 100 mg once weekly Increase his testosterone enanthate to 75 mg once weekly.
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