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Dear Dr. Wohl
Mar 22, 2006

After having worked around bodybuilders for years, I have to ask why you have the notion that testosterone can cause fat loss symptoms like D4T. Absolutely not what I see. In fact, most of the time, they get more full faced. They certainly don't lose peripheral fat on their arms and legs when they use testosterone. One study showed that testosterone didn't cause the fat loss that oxandrolone caused. Oral steroids, like oxandrolone, do have some potential for increasing adipocyte fatty acid efflux by their effect on increasing hepatic post-heparin lipase, but testosterone doesn't not do that. What published study did you get that notion from? Michael Mooney

Response from Dr. Wohl

Dear Michael,

Please see my previous post toady re testosterone. The study (ACTG 5079) by Cecilia Shikuma and colleagues indicates clearly that testosterone reduces limb fat. In fact, the median limb fat lost among the men receiving testosterone (about 500 g) was more than the amount gained in a study of pioglitazone for lipoatrophy presented at the same conference - a trial hailed for its hopeful results.

Shikuma C et al. Effects of physiologic testosterone supplementation on fat mass and distribution in HIV-infected men with abdominal obesity: ACTG 5079. Thirteenth Conference on Retroviruses and Opportunistic Infections, Denver, abstract 149, 2006.


testosterone supplementation (follow-up to earlier question)
elevated LFT's

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