Some patients who have mild disease may not need immediate treatment, according to panels convened by the National Institutes of Health (NIH) in 2002. Patients who are symptom-free, whose blood calcium is only slightly elevated, and whose kidneys and bones are normal may wish to talk with their physicians about long-term monitoring. In the 2002 recommendation, periodic monitoring would consist of clinical evaluation, measurement of serum calcium levels, and bone mass measurement. If the patient and physician choose long-term follow-up, the patient should try to drink lots of water, get plenty of exercise , and avoid certain diuretics, such as the thiazides . Immobilization (inability to move) and gastrointestinal illness with vomiting or diarrhea can cause calcium levels to rise. Patients with hyperparathyroidism should seek medical attention if they find themselves immobilized, vomiting, or having diarrhea .
In a 2011 randomized controlled study, researchers recruited 54 healthy men whose mean 25(OH)D levels were in the deficiency range for a year-long intervention. They divided the subjects into two groups. The first group of 23 men had an average serum 25(OH)D of nmol/L and took a daily placebo. The second group of 31 men had an average serum 25(OH)D of nmol/L and took a daily 3332-IU vitamin D supplement. After the trial was finished, the researchers observed a significant increase in total testosterone from nmol/L to nmol/L in the supplement group. 19 In contrast, there were hardly any changes in testosterone concentrations in the placebo group. 19 These findings suggest that men deficient in vitamin D who take a proper vitamin D supplement may fix low levels of low testosterone.
DEPO - Testosterone (testosterone cypionate injection) is an androgen indicated for replacement therapy in the male in conditions associated with symptoms of deficiency or absence of endogenous testosterone including, 1) Primary hypogonadism ( congenital or acquired ) - testicular failure due to cryptorchidism , bilateral torsion, orchitis , vanishing testis syndrome, or orchidectomy; and 2) Hypogonadotropic hypogonadism (congenital or acquired) - gonadotropin or LHRH deficiency, or pituitary -hypothalamic injury from tumors, trauma , or radiation . Common side effects of DEPO -Testosterone include: