That's wonderful,honey. I always knew some boy would be interested in you. I just wasn'tsure how you would react," Mom said."Well yeah, I kind of knew...it too, I guess. But this boy, Kyle's his name,asked me out on a date for Saturday night. He asked me to go to the moviesand then stop somewhere for something to eat. I wasn't sure what to do butI told him yes anyway. But I said I would have to check with you first. Doyou think I should go, mom? I'm really scared." I know honey. It's a big step. Ideally we’d like to use an androgen synthesis inhibitor. These stop the production of testosterone, but those drugs are either breathtakingly expensive or still in development. The one that’s approved is fifty thousand a year.”“That’s worse than the histrelin,” Glenn replied.“Exactly. Instead we start with an androgen antagonist. These block the action of the testosterone she produces, and are quite reasonably priced. Our first line is spironolactone. It’s a daily pill, available as a generic. More

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