The side effects of Nebido can include those of an androgenic nature. The androgenic side effects of Nebido are, however, highly dependent on genetic predispositions and will not affect all men. The possible androgenic side effects of Nebido include accelerated hair loss in those predisposed to male pattern baldness, acne in sensitive individuals and body hair growth.
While by no means always necessary, some men may find the use of a 5-alpha reductase inhibitor to be useful. The testosterone hormone is metabolized by the 5-alpha reductase enzyme, which reduces the testosterone hormone to dihydrotestosterone (DHT). The DHT is what leads to the androgenic related effects. By incorporating a 5-alpha reductase inhibitor, you will reduce the hormones androgenicity. It will not be a complete reduction, but it will be significant. However, such inhibitors are not always recommended and should only be used as needed as they can hinder the potency of the testosterone hormone.
Christ. Finasteride has impotence, loss of interest in sex, trouble having an orgasm, abnormal ejaculation listed as "common" side effects. And "Less serious" side effects also include impotence, loss of interest in sex, or trouble having an orgasm, which may persist after discontinuation. I thought this was rare. Why on earth are these side effects considered non-serious? Does the doctor consider impotence in himself as non-serious? This is really disheartening, that they can list this s**t as non-serious. Fvck off with "non-serious". It's the same with many anti-depressants.
The doctor wrote "In my opinion, it is apparent that [the Veteran's]
Type II Diabetes and the difficulties we have had controlling
it thus far contribute to the severity of his [obstructive
sleep apnea]." This opinion is supported by clinical data
in the form of the cited research. As this positive opinion
includes supporting clinical data, the Board finds it should
be accorded more probative weight than the negative opinion
flowing from the November 2006 VA examination.
The Board finds there is competent evidence of record of the current existence of sleep apnea, competent evidence of service-connected Type II diabetes mellitus and competent medical nexus evidence establishing a connection between the service-connected disability and the current disability.
See Wallin v. West, 11 Vet. App. 509, 512. Based on the above, the Board finds that the preponderance of the competent evidence of record demonstrates that the Veteran's currently existing sleep apnea is aggravated by his service-connected Type II diabetes mellitus. The Board is aware of the provisions of the Veterans Claims Assistance Act of 2000 (VCAA). However, the Board finds it does not need to determine if VA complied with the VCAA in the current case as the claim has been granted. There is no detriment to the Veteran in promulgating this decision without ensuring VCAA compliance.
Service connection for sleep apnea which is aggravated by Type II diabetes mellitus is granted, subject to the laws and regulations governing monetary awards.
BARBARA B. COPELAND Veterans Law Judge, Board of Veterans' Appeals
Department of Veterans Affairs
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