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The decision should be individualized

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To best interrupt the downward spiral into frailty a greater emphasis should be placed on a multi-disciplinary interventional approach including resistance exercise, diet and other lifestyle options, in conjunction with pharmacological agents. Low testosterone levels may be associated with risk of fracture in men over 60

22,23,24 Alas, I see no mention of a plant resembling Paronychia in Paulus commentary on complaints about the nails but I will keep up the search

doi:10.1053/j.ajkd.2015.11.012 Macdougall IC