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But a significant drop in testosterone levels may cause: low sex drive fewer spontaneous erections erectile dysfunction lowered sperm count or volume trouble sleeping unusual loss of muscle and bone density unexplained weight gain Hormone Replacement Therapy Hormone replacement therapy (HRT) replenishes the levels of estrogen, progesterone, and testosterone that decline and fluctuate with age to combat the symptoms of menopause and prevent the development of long-term diseases that can result from hormone deficiencies

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