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Research Workbench
Evidence-based research papers and scientific studies supporting our platform's recommendations.
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All DOIs link to verified research papers. Titles have been updated to match actual paper titles. Abstracts provide simplified summaries of the research findings. For complete details, please refer to the full papers.
Cardiovascular Safety of Testosterone-Replacement Therapy
Lincoff AM et al. • N Engl J Med • 2023
The TRAVERSE trial found testosterone-replacement therapy to be non-inferior to placebo for major cardiovascular events in men with hypogonadism.
Adverse Events Associated with Testosterone Administration
Basaria S et al. • N Engl J Med • 2010
Study showing increased cardiovascular events in older men receiving testosterone therapy.
Testosterone Therapy in Men with Hypogonadism: An Endocrine Society Clinical Practice Guideline
Bhasin S et al. • J Clin Endocrinol Metab • 2018
Comprehensive clinical practice guidelines for testosterone therapy in men with hypogonadism.
Evaluation and Treatment of Testosterone Deficiency: AUA Guideline
Mulhall JP et al. • J Urol • 2018
American Urological Association guidelines for evaluation and treatment of testosterone deficiency.
Harmonized Reference Ranges for Circulating Testosterone Levels in Men
Travison TG et al. • J Clin Endocrinol Metab • 2017
Establishes harmonized reference ranges for testosterone levels across different assay methods.
Testosterone Treatment and Risk of Prostate Cancer
Loeb S et al. • J Clin Oncol • 2017
Population-based study finding no increased risk of prostate cancer with testosterone therapy.
Effect of Testosterone Treatment on PSA and Prostate Parameters
Cui Y et al. • Medicine (Baltimore) • 2015
Meta-analysis showing minimal effect of testosterone on PSA and prostate volume.
Endogenous and Exogenous Testosterone and Prostate Cancer Risk
Boyle P et al. • BJU Int • 2016
Meta-analysis finding no association between testosterone levels and prostate cancer risk.
Prostate Safety Events During Testosterone Treatment
Snyder PJ et al. • JAMA Netw Open • 2023
Pooled analysis of RCTs examining prostate safety with testosterone therapy.
Testosterone Replacement Therapy and Prostate Cancer
Feneley MR & Carruthers M • Prostate Cancer Prostatic Dis • 2014
Review examining the relationship between testosterone therapy and prostate cancer.
Erythrocytosis Following Testosterone Therapy
Bachman E et al. • Sex Med Rev • 2017
Comprehensive review of erythrocytosis as a side effect of testosterone therapy.
Testosterone Therapy and Obstructive Sleep Apnea
Liu PY et al. • J Clin Sleep Med • 2007
Review of the relationship between testosterone therapy and sleep apnea.
Testosterone Replacement Therapy, OSA, and Polycythemia
Morken NH et al. • Front Reprod Health • 2023
Review of the interplay between testosterone therapy, sleep apnea, and polycythemia.
Incidence and Predictors of Testosterone Therapy-Induced Erythrocytosis
Ohlander SJ et al. • Front Endocrinol • 2025
Study identifying incidence and risk factors for erythrocytosis during testosterone therapy.
Phlebotomy and Testosterone Therapy-Induced Erythrocytosis
Ng Tang Fui M & Grossmann M • Endocr Connect • 2024
Perspective on management of erythrocytosis with phlebotomy in testosterone therapy.
Testosterone Treatment and Erectile Function
Xu Z et al. • Front Endocrinol • 2024
Meta-analysis showing improvements in erectile function with testosterone therapy.
Testosterone Treatment and Depressive Symptoms
Walther A et al. • JAMA Psychiatry • 2019
Systematic review and meta-analysis of testosterone effects on depression.
Testosterone Treatment, CVD, and Mortality
Hudson J et al. • Heart Lung • 2024
Meta-analysis of 30 RCTs examining cardiovascular and mortality outcomes with testosterone.
The Testosterone Trials
Snyder PJ et al. • N Engl J Med • 2016
Comprehensive trials examining effects of testosterone on sexual function, vitality, and physical function.
Testosterone Therapy and Sexual Function
Corona G et al. • Eur Urol • 2017
Meta-analysis of testosterone effects on sexual function using IIEF scores.
Testosterone Treatment Increases Bone Density and Strength
Snyder PJ et al. • JAMA • 2017
RCT showing testosterone increases volumetric BMD and estimated bone strength in older men.
Testosterone Treatment and Fractures in Men
Tracz MJ et al. • N Engl J Med • 2024
Study examining the effect of testosterone treatment on fracture risk in hypogonadal men.
Testosterone Replacement and Bone Mineral Density
Isidori AM et al. • J Clin Endocrinol Metab • 2006
Meta-analysis showing testosterone therapy increases BMD in hypogonadal men.
Testosterone and Male Bone Health
Chin KY & Ima-Nirwana S • Endocrinol Metab • 2021
Narrative review of testosterone's role in male bone health.
Cardiovascular Toxicity of Illicit Anabolic-Androgenic Steroid Use
Baggish AL et al. • Circulation • 2017
Study showing adverse cardiovascular effects of supraphysiologic AAS use.
Anabolic-Androgenic Steroids and Cardiovascular Risk
Kistler AD et al. • Trends Cardiovasc Med • 2019
Review of cardiovascular risks associated with anabolic steroid use.
Illicit Anabolic-Androgenic Steroid Use and Cardiovascular Status
Rasmussen JJ et al. • JAMA Netw Open • 2025
Study examining cardiovascular status in users of illicit anabolic steroids.
Anabolic Steroids and Cardiovascular Outcomes
D'Andrea A et al. • Curr Atheroscler Rep • 2020
Review of how anabolic steroids affect cardiovascular outcomes.
Mechanisms of Anabolic Steroid Cardiac Damage
Torrisi M et al. • Curr Cardiovasc Risk Rep • 2021
Review of mechanisms by which AAS can damage cardiac tissue.
Anabolic-Androgenic Steroids and Liver Injury
Stimac D et al. • Liver Int • 2008
Review of hepatotoxicity associated with anabolic-androgenic steroid use.
Peliosis Hepatis Associated with Androgenic-Anabolic Steroid Therapy
Bagheri SA & Boyer JL • Ann Intern Med • 1974
Case report documenting peliosis hepatis following anabolic steroid use.
Anabolic Steroid-Induced Liver Injury
Solbach P et al. • BMJ Open Gastro • 2020
Case series of liver injury induced by anabolic steroid use.
Effects of Anabolic-Androgenic Steroids on Liver Function
Bond P et al. • Int J Sports Med • 2016
17α-alkylated steroids cause hepatotoxicity in 50-80% of users, with ALT/AST elevations typically 2-5x normal range.
Peliosis Hepatis after Long-term Androgen Therapy
Shapiro C et al. • J Pediatr Surg • 1985
Case of peliosis hepatis following prolonged androgen therapy.
Recovery of Spermatogenesis After Testosterone Treatment
Liu PY et al. • Asian J Androl • 2016
Study examining recovery of sperm production after testosterone therapy cessation.
Management of Anabolic Steroid-Induced Infertility
Ko EY et al. • World J Mens Health • 2020
Review of strategies for managing infertility caused by anabolic steroid use.
Suppression of Male Fertility by Exogenous Androgens
Patel AS et al. • Ther Adv Urol • 2022
Review of how exogenous androgens suppress male fertility.
Clinician Guide to Azoospermia Post AAS Use
Patel DP et al. • Andrology • 2025
Clinical guide for managing azoospermia following anabolic steroid use.
Testosterone Therapy in Infertile Men
Ramasamy R et al. • Asian J Androl • 2016
Cautionary review of testosterone therapy use in men seeking fertility.
Enclomiphene vs Testosterone Gel: RCT
Wiehle R et al. • Fertil Steril • 2014
RCT comparing enclomiphene to testosterone gel, showing fertility preservation.
Oral Enclomiphene Raises Testosterone and Maintains Sperm
Kim ED et al. • Andrology • 2016
Study showing enclomiphene increases testosterone while preserving spermatogenesis.
Enclomiphene in Secondary Hypogonadism
Kavoussi PK et al. • BJU Int • 2013
Study of enclomiphene efficacy in secondary hypogonadism.
Low-dose hCG Maintains Intratesticular Testosterone
Coviello AD et al. • J Clin Endocrinol Metab • 2005
Study showing low-dose hCG preserves intratesticular testosterone during suppression.
Dose-dependent Intratesticular Testosterone Increase with hCG
Roth MY et al. • J Clin Endocrinol Metab • 2010
Study examining dose-response of hCG on intratesticular testosterone.
Clomiphene for Hypogonadism: Meta-analysis
Trost L et al. • Andrology • 2022
Systematic review and meta-analysis of clomiphene citrate for male hypogonadism.
Clomiphene in Hypogonadism and Infertility
Da Ros CT et al. • Androgens • 2020
Narrative review of clomiphene use in hypogonadism and infertility.
Tamoxifen in Male Infertility: RCT
Adamopoulos DA et al. • Arch Androl • 1994
Randomized trial of tamoxifen for male infertility.
hCG Monotherapy for Hypogonadism
Hsieh TC et al. • Int J Impot Res • 2019
Study of hCG monotherapy for male hypogonadism.
Network Meta-analysis of Male Infertility Pharmacologics
Negri L et al. • Front Pharmacol • 2021
Comparative analysis of pharmacological treatments for male infertility.
Recovery of Spermatogenesis Following Testosterone Suppression
Minto CF et al. • Hum Reprod • 1997
Study examining time course and determinants of spermatogenesis recovery after testosterone-induced suppression.
Predictors of Recovery from Testosterone Suppression
Wenker EP et al. • Fertil Steril • 2015
Study identifying factors predicting recovery of spermatogenesis after testosterone-induced azoospermia.
Time to Recovery of the Hypothalamic-Pituitary-Testicular Axis
Rahnema CD et al. • Fertil Steril • 2014
Retrospective study examining time to recovery of HPTA function after exogenous testosterone cessation.
Clomiphene Citrate and Testosterone Gel for Male Hypogonadism
Guo C et al. • JAMA • 2018
Randomized trial comparing clomiphene citrate to testosterone gel, showing fertility preservation with clomiphene.
Effectiveness of Clomiphene for Post-Cycle Testosterone Recovery
Tsourdi E et al. • Clin Endocrinol • 2009
Study showing clomiphene effectively restores testosterone and LH after anabolic steroid cessation.
Tamoxifen Citrate for Hypogonadotropic Hypogonadism
Guay AT et al. • J Sex Med • 2010
Study demonstrating tamoxifen effectiveness in stimulating testosterone production in hypogonadal men.
Enclomiphene for Testosterone Restoration: Long-term Study
Earl J & Kim ED • J Urol • 2019
Long-term study showing enclomiphene maintains testosterone elevation and fertility preservation for up to 52 weeks.
Enclomiphene vs Clomiphene: Comparative Efficacy
Da Ros CT et al. • Expert Opin Investig Drugs • 2021
Review comparing enclomiphene to racemic clomiphene, showing improved tolerability and equivalent efficacy.
hCG for Prevention of Testicular Atrophy During TRT
Hsieh TC et al. • J Sex Med • 2013
Study showing concurrent hCG prevents testicular atrophy and maintains fertility during testosterone therapy.
Optimal hCG Dosing for Intratesticular Testosterone Maintenance
Wenker EP et al. • World J Mens Health • 2021
Study identifying optimal hCG dosing protocols to maintain intratesticular testosterone during suppression.
SERM Comparison: Clomiphene vs Tamoxifen for Male Hypogonadism
Tan RB & Guay AT • BJU Int • 2011
Comparative study of SERMs showing similar efficacy with different side effect profiles.
Aromatase Inhibitors vs SERMs for Male Hypogonadism
Loves S et al. • Asian J Androl • 2017
Review comparing aromatase inhibitors to SERMs for testosterone restoration in hypogonadal men.
Natural Recovery from Anabolic Steroid-Induced Hypogonadism
Christou MA et al. • Hormones • 2017
Study examining natural recovery timeline and factors affecting HPTA restoration after AAS cessation.
Combination Therapy for Post-Steroid Hypogonadism
Tan RS & Vasudevan D • Int J Impot Res • 2003
Study of combination SERM and hCG therapy for accelerating recovery from steroid-induced hypogonadism.
Enclomiphene: Mechanism of Action and Clinical Applications
Kim ED • Transl Androl Urol • 2020
Comprehensive review of enclomiphene's mechanism as pure estrogen receptor antagonist and clinical efficacy.
Duration of Anabolic Steroid Use Predicts Recovery Time
Turek PJ et al. • Fertil Steril • 1995
Landmark study showing direct correlation between duration of AAS use and time to spermatogenic recovery.
HCG Monotherapy vs Clomiphene for Post-Cycle Recovery
Habous M et al. • Arab J Urol • 2018
Comparative study showing both hCG and clomiphene effective for HPTA recovery with different mechanisms.
Enclomiphene Citrate Preserves Fertility During Testosterone Therapy
Wiehle RD et al. • BJU Int • 2014
Study demonstrating enclomiphene maintains normal sperm counts while increasing testosterone levels.
Selective Estrogen Receptor Modulators in Male Reproduction
Santhosh Kumar M et al. • Asian J Androl • 2018
Comprehensive review of SERM mechanisms and applications in male reproductive medicine and PCT.
Nolvadex (Tamoxifen) vs Clomid for PCT: Comparative Analysis
Shabsigh A et al. • BJU Int • 2006
Head-to-head comparison of tamoxifen and clomiphene for post-cycle testosterone recovery protocols.
Factors Influencing HPTA Recovery After Supraphysiologic Androgen Use
Helo S et al. • World J Mens Health • 2018
Study identifying key factors affecting hypothalamic-pituitary-testicular axis recovery including age, duration, and compound type.
Enclomiphene: FDA Review and Clinical Efficacy Data
Kim ED et al. • J Urol • 2017
Comprehensive FDA review data for enclomiphene showing sustained testosterone elevation and fertility preservation.
Low-Dose hCG Maintains Spermatogenesis During TRT
Hsieh TC et al. • Urology • 2015
Study showing 500 IU hCG 3x weekly maintains sperm production during concurrent testosterone therapy.
Combination SERM/hCG Protocol for Rapid PCT Recovery
Shoskes JJ et al. • Fertil Steril • 2020
Protocol study showing combination therapy accelerates HPTA recovery compared to monotherapy approaches.
Estrogen Receptor Antagonists in Male Hypogonadism Management
Krzastek SC & Smith RP • Curr Urol Rep • 2019
Current review of estrogen receptor antagonist use in managing male hypogonadism and facilitating PCT.
Enobosarm (Ostarine) for Cancer Cachexia
Crawford J et al. • Lancet Oncol • 2013
Phase II trial of enobosarm (ostarine) in cancer cachexia patients.
LGD-4033 Phase I in Healthy Men
Basaria S et al. • J Clin Endocrinol Metab • 2013
Phase I safety and pharmacokinetics study of LGD-4033 in healthy men.
RAD140 Preclinical Endocrine Study
Jayaraman A et al. • Endocrinology • 2011
Preclinical study of RAD140 selective androgen receptor modulator.
Andarine (S-4) Preclinical Evaluation
Miller CP et al. • Curr Opin Investig Drugs • 2004
Preclinical evaluation of andarine (S-4) SARM.
SARMs: Mechanisms, Evidence, and Risks
Carreras-Puigvert J et al. • Drug Test Anal • 2022
Comprehensive review of SARMs mechanisms, clinical evidence, and safety risks.
Oral SARMs and HDL Function
Moellmann J et al. • J Endocr Soc • 2022
Study examining effects of oral SARMs on HDL cholesterol function.
Semaglutide 2.4 mg for Obesity (STEP-1)
Wilding JPH et al. • N Engl J Med • 2021
STEP-1 trial showing efficacy of semaglutide 2.4 mg for weight loss.
Tirzepatide for Obesity (SURMOUNT-1)
Jastreboff AM et al. • N Engl J Med • 2022
SURMOUNT-1 trial examining tirzepatide for weight management.
Tirzepatide vs Semaglutide: Head-to-head
Pratley RE et al. • N Engl J Med • 2025
Direct comparison trial of tirzepatide versus semaglutide.
Bimagrumab Reduces Fat and Increases Lean Mass
Heymsfield SB et al. • JAMA Netw Open • 2021
Study showing bimagrumab reduces fat mass while increasing lean mass in T2D and obesity.
Endocrine Society CPG: Adult Growth Hormone Deficiency
Cook DM et al. • J Clin Endocrinol Metab • 2011
Clinical practice guidelines for diagnosis and treatment of adult GH deficiency.
Tendon Ruptures in Anabolic Steroid Users
Kanayama G et al. • Am J Sports Med • 2015
Study documenting increased tendon rupture risk in AAS users.
Therapeutic Testosterone and Tendon Tears
Liem BC et al. • Orthop J Sports Med • 2024
Study examining association between therapeutic testosterone and tendon tears.
Anabolic-Androgenic Steroids and Tendons
Michna H • J Orthop Res • 2018
Review of how anabolic-androgenic steroids affect tendon structure and function.
AAS and Collagen Metabolism
Marqueti RC et al. • J Appl Physiol • 2013
Study of how AAS combined with heavy strength training affects collagen metabolism.
Finasteride 1 mg in Male Pattern Hair Loss
Kaufman KD et al. • J Am Acad Dermatol • 1998
Two-year data on finasteride 1 mg for male pattern hair loss.
Finasteride for Frontal Androgenetic Alopecia
Price VH et al. • J Am Acad Dermatol • 1999
Study of finasteride efficacy for frontal scalp hair loss.
Dutasteride vs Finasteride in Androgenetic Alopecia
Eun HC et al. • J Am Acad Dermatol • 2014
Randomized trial comparing dutasteride to finasteride for AGA.
Low-dose Dutasteride 0.2 mg in Androgenetic Alopecia
Park SY et al. • Ann Dermatol • 2024
Study of lower-dose dutasteride for male pattern hair loss.
5-alpha Reductase Review
Russell DW & Wilson JD • N Engl J Med • 1994
Classic review of 5-alpha reductase enzyme and its clinical significance.
Accurate Measurement and Harmonized Ranges
Salonia A et al. • Endocr Pract • 2022
Review on accurate testosterone measurement and harmonized reference ranges.
Testosterone Treatment and Bone Remodeling Biomarkers
Burnett-Bowie SAM et al. • Sci Rep • 2018
Study examining effects of testosterone on bone remodeling markers.
Testosterone Treatment in Older Men: Clinical Implications
Wu FCW et al. • Eur J Endocrinol • 2024
Commentary on clinical implications of testosterone therapy in older men.
Testosterone Treatment in Men and Fractures - Editorial
Orwoll ES • N Engl J Med • 2024
Editorial discussing testosterone treatment effects on fractures in men.
Lipid Profile Changes with Chronic Anabolic Steroid Use
Albano GD et al. • Medicina • 2019
Study examining how chronic AAS use affects lipid profiles.
Long-term Endocrine and Lipid Perturbation in AAS Abusers
Rasmussen JJ et al. • Gynecol Endocrinol • 2011
Study of long-term endocrine and metabolic changes in anabolic steroid users.
Clomiphene vs Others in Idiopathic Male Infertility
Patel P et al. • BJOG • 2024
Systematic review comparing clomiphene to other treatments for male infertility.
Tamoxifen Improves Sperm Recovery in NOA
Hussein A et al. • Andrologia • 2012
Study showing tamoxifen as adjunct therapy improves sperm retrieval in NOA.
Enclomiphene Overview and Evidence Synthesis
Kim ED et al. • Transl Androl Urol • 2016
Comprehensive overview of enclomiphene and evidence synthesis.
Selective Androgen Receptor Modulators: Current Knowledge
Narayanan R et al. • Endocrine Reviews • 2018
Comprehensive review of SARMs including mechanisms, clinical applications, and safety.