Musculoskeletal and Body Composition Response to High-Dose Testosterone with Finasteride After Chronic Incomplete Spinal Cord Injury: A Randomized, Double-Blind, and Placebo-Controlled Pilot Study

    December 2024 in “ Frontiers in Neurology
    Dana M. Otzel, Larissa Nichols, Christine F. Conover, STEPHEN A. MARANGI, Jayachandra R. Kura, Daniela Iannaccone, David Clark, Chris M. Gregory, Christopher Sonntag, Anita Wokhlu, Hans K. Ghayee, Michael J. McPhaul, Charles E. Levy, Charles Plumlee, Robert Sammel, Kevin T. White, Joshua F. Yarrow
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    TLDR Testosterone with finasteride improved muscle and bone health in men with spinal cord injury.
    This pilot study examined the effects of high-dose testosterone replacement therapy (TRT) combined with finasteride on men with chronic motor-incomplete spinal cord injury (SCI). Involving 12 participants, the study found that over 12 months, TRT with finasteride significantly increased lean mass, muscle cross-sectional area, muscle strength, and bone mineral density, while reducing fat mass and minimizing prostate growth compared to placebo. Despite the study's small sample size and early termination due to the COVID-19 pandemic, the results suggest that TRT with finasteride could be a promising approach for improving musculoskeletal health in this population, warranting further research with larger trials.
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