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The men also had their testosterone levels measured, and were divided into three groups based on the result. The groups were then compared to each other with regard to their coronary angiography readings. The investigators found a strong (statistically significant) relationship between the level of testosterone and the severity of heart disease. However, the association was negative, meaning that men with the highest testosterone level (upper 1/3 of subjects) had better angiography readings. Likewise, the group with the lowest testosterone demonstrated the most advanced disease. While this study did not attempt to establish causality, it certainly does invite further investigation into the potential health benefits of testosterone and hormone replacement therapy.
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