{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T04:58:00Z","timestamp":1693285080027},"reference-count":25,"publisher":"Walter de Gruyter GmbH","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p id=\"P1_w2aab3b7c15b1b6b1aab1c16b1Aa\">The authors describe the case of a 36-year-old man who presented with hormone level concerns 6 months after a rock climbing accident that resulted in paraplegia. Hypogonadism was diagnosed, and the patient received subcutaneous pellet testosterone replacement therapy. Within 6 months, the patient had substantial improvement in muscle function and was able to take several steps with the assistance of crutches or a walker. This case highlights the potential improvement in quality of life and overall prognosis resulting from the subcutaneous pellet form of testosterone when used as part of the overall treatment plan in such patients. Considering the overwhelming preponderance of hypogonadism in men with spinal cord injuries, the standard of care for such patients should include screening, laboratory hormone evaluation, and prompt treatment for testosterone deficiency.<\/jats:p>","DOI":"10.7556\/jaoa.2013.071","type":"journal-article","created":{"date-parts":[[2013,11,25]],"date-time":"2013-11-25T20:38:35Z","timestamp":1385411915000},"page":"921-925","source":"Crossref","is-referenced-by-count":1,"title":["Subcutaneous Pellet Testosterone Replacement Therapy: The \u201cFirst Steps\u201d in Treating Men With Spinal Cord Injuries"],"prefix":"10.1515","volume":"113","author":[{"given":"Kendra M.","family":"Gray","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"DeRosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2013,12,1]]},"reference":[{"key":"2021040108345352588_j_jaoa.2013.071_ref_001_w2aab3b7c15b1b6b1ab2b2b1Aa","unstructured":"Spinal cord injury facts. 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