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Structure-activity relationship for small molecule inhibitors of nicotinamide N-methyltransferase. J Med Chem , 2017;60(12):5015-5028

(Side effects also are far more common in self-procured testosterone.) Testosterone injection side effects include increased body hair, a loss of hair on your head, breast enlargement, oily skin, acne (commonly, on the back of head, on the shoulders, or on the chest), a deeper voice because vocal chords thicken, and fatigue

In others, those with rosacea experienced flares that required dermatologic care

They may look for signs of nervous system problems

I would call the insurance co & see if they can tell you why