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[6] After deep intramuscular injection the lipophilic ester diffuses slowly from the oil depot, undergoes enzymatic cleavage to free testosterone and enters the systemic circulation, where roughly 98 % is reversibly bound to sex-hormone-binding globulin and albumin while the unbound fraction translocates across cell membranes to activate androgen receptors

A second collagenase injection was administered three days later

Seek immediate medical attention if you experience signs of heart failure, such as sudden weight gain or unusual tiredness

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