{"id":592,"date":"2026-08-13T13:34:26","date_gmt":"2026-08-13T04:34:26","guid":{"rendered":"https:\/\/rmnw.jp\/teams\/?p=592"},"modified":"2026-08-13T15:28:09","modified_gmt":"2026-08-13T06:28:09","slug":"%e3%82%a2%e3%82%b9%e3%83%aa%e3%83%bc%e3%83%88%e3%83%bb%e3%83%9c%e3%83%87%e3%82%a3%e3%83%bc%e3%83%93%e3%83%ab%e3%83%80%e3%83%bc%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%83%91%e3%83%95%e3%82%a9%e3%83%bc","status":"publish","type":"post","link":"https:\/\/rmnw.jp\/teams\/?p=592","title":{"rendered":"R01.\u30a2\u30b9\u30ea\u30fc\u30c8\u30fb\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u30c0\u30fc\u306b\u304a\u3051\u308b\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5411\u4e0a\u85ac\u7269\uff08PED\uff09\uff1a\u4f7f\u7528\u5b9f\u614b\u30fb\u5371\u967a\u6027\u30fb\u5f8c\u907a\u75c7\u306b\u95a2\u3059\u308b\u5305\u62ec\u7684\u533b\u5b66\u30ec\u30dd\u30fc\u30c8"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"R01\u30a2\u30b9\u30ea\u30fc\u30c8\u30fb\u30db\u3099\u30c6\u3099\u30a3\u30fc\u30d2\u3099\u30eb\u30bf\u3099\u30fc\u306b\u304a\u3051\u308b\u30cf\u309a\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5411\u4e0a\u85ac\u7269\uff08PED\uff09\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Z4kwrllMbgo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n\t\t<div class=\"wppdfemb-frame-container-1\" style=\"-webkit-overflow-scrolling:auto;\">\n\t\t\t<iframe class=\"pdfembed-iframe nonfullscreen wppdf-emb-iframe-1\"\n\t\t\t\tsrc=\"https:\/\/rmnw.jp\/teams\/?pdfemb-data=eyJwZGZJRCI6NTk0LCJ1cmwiOiJodHRwczpcL1wvcm1udy5qcFwvdGVhbXNcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjZcLzA4XC9SMDFQRUQucGRmIiwidGl0bGUiOiJSMDFQRUQiLCJpbmRleCI6MX0\"\n\t\t\t\ttitle=\"R01PED\"\t\t\t\tdata-pdf-id=\"594\"\n\t\t\t\tdata-pdf-index=\"1\"\n\t\t\t\tstyle=\"border:none;width:100%;max-width:100%;height:100vh;\"\n\t\t\t\tscrolling=\"yes\">\n\t\t\t<\/iframe>\n\t\t<\/div>\n\n\t\t\n\n\n<p class=\"wp-block-paragraph\">\uff08\u533b\u5e2b\u5411\u3051\u81e8\u5e8a\u30ea\u30d5\u30a1\u30ec\u30f3\u30b9\uff0f\u6559\u79d1\u66f8\u57f7\u7b46\u6e96\u5099\u8cc7\u6599\uff09<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u672c\u8cc7\u6599\u306e\u4f4d\u7f6e\u3065\u3051\u30fb\u514d\u8cac<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8cc7\u6599\u306f<strong>\u5bb3\u306e\u4e88\u9632\u30fb\u65e9\u671f\u767a\u898b\u30fb\u81e8\u5e8a\u7ba1\u7406<\/strong>\u3092\u76ee\u7684\u3068\u3057\u305f\u533b\u5b66\u6559\u80b2\u8cc7\u6599\u3067\u3042\u308b\u3002\u63a8\u5968\u7528\u91cf\u30fb\u30b5\u30a4\u30af\u30eb\u8a2d\u8a08\u30fb\u30b9\u30bf\u30c3\u30af\u69cb\u6210\u30fb\u691c\u67fb\u56de\u907f\u6cd5\u30fb\u5165\u624b\u7d4c\u8def\u306f\u4e00\u5207\u8a18\u8f09\u3057\u306a\u3044\u3002\u5e02\u4e2d\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u85ac\u5264\u7a2e\u30fb\u7528\u91cf\u30aa\u30fc\u30c0\u30fc\u30fb\u4f7f\u7528\u30d1\u30bf\u30fc\u30f3\u7528\u8a9e\u306f\u3001\u81e8\u5e8a\u533b\u304c\u60a3\u8005\u7533\u544a\u30fb\u691c\u67fb\u6240\u898b\u3092\u89e3\u91c8\u3059\u308b\u305f\u3081\u306e<strong>\u75ab\u5b66\u7684\u30fb\u8a18\u8ff0\u7684\u4e8b\u5b9f<\/strong>\u3068\u3057\u3066\u306e\u307f\u8a18\u8ff0\u3059\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">TL;DR\uff08\u8981\u70b93\u70b9\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PED\u306f\u8d85\u751f\u7406\u7684\u7528\u91cf\uff08\u7537\u6027\u5185\u56e0\u6027\u7523\u751f\u306e5\u301c100\u500d\u3001Bhasin 1996\u306e\u5b9f\u9a13\u7528\u91cf\u9031600mg\u3092\u306f\u308b\u304b\u306b\u8d85\u3048\u308b\uff09\u3067\u591a\u5264\u4f75\u7528\u3055\u308c\u3001\u5fc3\u8840\u7ba1\u7cfb\uff08\u65e9\u767a\u6027\u51a0\u52d5\u8108\u75be\u60a3\u30fb\u5fc3\u7b4b\u969c\u5bb3\uff09\u3001\u5185\u5206\u6ccc\u7cfb\uff08HPG\u8ef8\u6291\u5236\u30fb\u4e0d\u598a\uff09\u3001\u809d\u30fb\u814e\u30fb\u7cbe\u795e\u306e\u4e0d\u53ef\u9006\u7684\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002<\/strong> AAS\u4f7f\u7528\u8005\u306e\u5168\u6b7b\u56e0\u6b7b\u4ea1\u7387\u306f\u5bfe\u7167\u306e\u7d043\u500d\uff08\u30c7\u30f3\u30de\u30fc\u30af\u5168\u56fd\u30b3\u30db\u30fc\u30c8\u3067\u30cf\u30b6\u30fc\u30c9\u6bd43.0\uff09\u3002<\/li>\n\n\n\n<li><strong>\u6700\u3082\u81e8\u5e8a\u7684\u306b\u91cd\u8981\u306a\u5f8c\u907a\u75c7\u306f\u3001\u5fc3\u8840\u7ba1\u969c\u5bb3\uff08Baggish\u3089\u306e\u30a8\u30b3\u30fc\u30fbCCTA\u7814\u7a76\u3067\u99c6\u51fa\u7387\u4f4e\u4e0b\u30fb\u51a0\u52d5\u8108\u30d7\u30e9\u30fc\u30af\u91cf\u5897\u52a0\u3092\u5b9f\u8a3c\uff09\u3068AAS\u8a98\u767a\u6027\u6027\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\uff08ASIH\uff09\u3067\u3042\u308a\u3001\u5f8c\u8005\u306f\u4f7f\u7528\u4e2d\u6b62\u5f8c\u3082\u304b\u306a\u308a\u306e\u5272\u5408\u3067\u5b8c\u5168\u56de\u5fa9\u3057\u306a\u3044\u3002<\/strong> \u3044\u308f\u3086\u308bPCT\uff08hCG\u30fbSERM\uff09\u306b\u306fRCT\u304c\u306a\u304f\u3001\u89b3\u5bdf\u7814\u7a76\u3067\u306f\u81ea\u7136\u56de\u5fa9\u306b\u5bfe\u3059\u308b\u660e\u78ba\u306a\u4e0a\u4e57\u305b\u52b9\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/li>\n\n\n\n<li><strong>\u65e5\u672c\u3067\u306f\u500b\u4eba\u8f38\u5165\u306b\u3088\u308a\u533b\u5e2b\u306e\u95a2\u4e0e\u306a\u304f\u5165\u624b\u3055\u308c\u308b\u305f\u3081\u3001\u30af\u30ea\u30cb\u30c3\u30af\u306f\u975e\u5be9\u5224\u7684\u306aharm reduction\u306e\u7a93\u53e3\u3068\u306a\u308a\u5f97\u308b\u3002<\/strong> \u8a3a\u65ad\u306f\u8d85\u751f\u7406\u7684\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3+\u4f4eLH\/FSH\u306e\u30d1\u30bf\u30fc\u30f3\u8a8d\u8b58\u3001\u96e2\u8131\u671f\u306e\u3046\u3064\u30fb\u81ea\u6bba\u30ea\u30b9\u30af\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u9577\u671f\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u304c\u67f1\u3068\u306a\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">\u7b2cI\u90e8\uff1a\u533b\u5e2b\u5411\u3051\u81e8\u5e8a\u30ea\u30d5\u30a1\u30ec\u30f3\u30b9<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">1. \u75ab\u5b66<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>AAS\u306e\u4e16\u754c\u306e\u751f\u6daf\u4f7f\u7528\u7387\u306f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff08Sagoe et al., Ann Epidemiol 2014\u3001187\u7814\u7a76\uff09\u3067<strong>3.3%\uff0895% CI 2.8\u20133.8\uff09<\/strong>\u3001\u7537\u60276.4%\uff0895% CI 5.3\u20137.7\uff09\u3001\u5973\u60271.6%\uff0895% CI 1.3\u20131.9\uff09\u3002\u30a2\u30b9\u30ea\u30fc\u30c813.4%\u3001\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u30b9\u30dd\u30fc\u30c4\u611b\u597d\u800518.4%\u3002<\/li>\n\n\n\n<li>\u7c73\u56fd\u3067\u306f\u300113\u301c50\u6b73\u306e\u3046\u3061<strong>290\u301c400\u4e07\u4eba\u304cAAS\u3092\u4f7f\u7528<\/strong>\u3057\u305f\u3068\u63a8\u8a08\u3055\u308c\u3001\u3046\u3061\u7d04100\u4e07\u4eba\u304cAAS\u4f9d\u5b58\u3092\u7d4c\u9a13\u3057\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\uff08Pope HG et al., Am J Addict 2014;23:371\u2013377\uff09\u3002\u4f7f\u7528\u8005\u306e\u591a\u304f\u306f\u30a8\u30ea\u30fc\u30c8\u9078\u624b\u3067\u306f\u306a\u304f\u4e00\u822c\u4eba\u53e3\u306e\u300c\u898b\u305f\u76ee\u300d\u5fd7\u5411\u8005\u3002<\/li>\n\n\n\n<li>\u4f7f\u7528\u8005\u306e<strong>\u6700\u592730%\u304c\u4f9d\u5b58<\/strong>\u3092\u767a\u75c7\uff08Kanayama G, Brower KJ, Wood RI, Hudson JI, Pope HG. Addiction 2009;104:1966\u20131978\uff1b\u5b9a\u91cf\u5316\u306fPope et al., Endocr Rev 2014;35:341\u2013375\uff09\u30023\u6a5f\u5e8f\uff08anabolic, androgenic, hedonic\uff09\u3067\u8aac\u660e\u3055\u308c\u308b\u3002<\/li>\n\n\n\n<li>\u4f7f\u7528\u30d1\u30bf\u30fc\u30f3\u7528\u8a9e\uff08\u8a18\u8ff0\u7684\u4e8b\u5b9f\uff09\uff1a<strong>cycling<\/strong>\uff08\u4f7f\u7528\u671f\u9593\u3068\u4f11\u85ac\u671f\u9593\u306e\u53cd\u5fa9\uff09\u3001<strong>stacking<\/strong>\uff08\u8907\u6570\u85ac\u5264\u306e\u540c\u6642\u4f75\u7528\uff09\u3001<strong>pyramiding<\/strong>\uff08\u6f38\u5897\u6f38\u6e1b\uff09\u3001<strong>blast and cruise<\/strong>\uff08\u9ad8\u7528\u91cf\u671f\u3068\u7dad\u6301\u91cf\u671f\u306e\u53cd\u5fa9\u3001\u4f11\u85ac\u306a\u3057\uff09\u3001<strong>bridging<\/strong>\uff08\u30b5\u30a4\u30af\u30eb\u9593\u306e\u4f4e\u7528\u91cf\u3064\u306a\u304e\uff09\u3002\u5178\u578b\u7684\u30b5\u30a4\u30af\u30eb\u306f4\u301c28\u9031\u3002<\/li>\n\n\n\n<li><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u30ae\u30e3\u30c3\u30d7<\/strong>\uff1a\u65e5\u672c\u56fd\u5185\u306e\u4f7f\u7528\u7387\u306e\u5168\u56fd\u8abf\u67fb\u30c7\u30fc\u30bf\u306f\u4e4f\u3057\u304f\u3001\u30b8\u30e0\u30fbSNS\u3067\u306e\u6d41\u901a\u5b9f\u614b\u306e\u5b9a\u91cf\u628a\u63e1\u304c\u4eca\u5f8c\u306e\u8ab2\u984c\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u85ac\u7406\u3068\u7528\u91cf\u30aa\u30fc\u30c0\u30fc\uff08\u8d85\u751f\u7406\u7684\u3067\u3042\u308b\u3053\u3068\u306e\u628a\u63e1\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">2.1 AAS\uff08\u30a2\u30ca\u30dc\u30ea\u30c3\u30af\u30a2\u30f3\u30c9\u30ed\u30b2\u30f3\u30b9\u30c6\u30ed\u30a4\u30c9\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6ce8\u5c04\u7528\u30a8\u30b9\u30c6\u30eb\u5264<\/strong>\uff1a\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u5404\u7a2e\u30a8\u30b9\u30c6\u30eb\uff08\u30a8\u30ca\u30f3\u30c6\u30fc\u30c8\u3001\u30b7\u30d4\u30aa\u30cd\u30fc\u30c8\u3001\u30d7\u30ed\u30d4\u30aa\u30cd\u30fc\u30c8\u7b49\uff09\u3001\u30ca\u30f3\u30c9\u30ed\u30ed\u30f3\uff08\u30c7\u30ab\uff09\u3001\u30dc\u30eb\u30c7\u30ce\u30f3\u3001\u30c8\u30ec\u30f3\u30dc\u30ed\u30f3\u3001\u30c9\u30ed\u30b9\u30bf\u30ce\u30ed\u30f3\u3002\u30a8\u30b9\u30c6\u30eb\u5316\u306b\u3088\u308a\u4f5c\u7528\u304c\u6301\u7d9a\u3002<\/li>\n\n\n\n<li><strong>17\u03b1-\u30a2\u30eb\u30ad\u30eb\u5316\u7d4c\u53e3\u5264<\/strong>\uff1a\u30b9\u30bf\u30ce\u30be\u30ed\u30fc\u30eb\u3001\u30aa\u30ad\u30b7\u30e1\u30c8\u30ed\u30f3\u3001\u30aa\u30ad\u30b5\u30f3\u30c9\u30ed\u30ed\u30f3\u3001\u30e1\u30bf\u30f3\u30b8\u30a8\u30ce\u30f3\u3001\u30e1\u30c1\u30eb\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u300217\u03b1-\u30a2\u30eb\u30ad\u30eb\u57fa\u304c\u809d\u521d\u56de\u901a\u904e\u4ee3\u8b1d\u3092\u56de\u907f\u3057\u7d4c\u53e3\u751f\u4f53\u5229\u7528\u80fd\u3092\u4ed8\u4e0e\u3059\u308b\u304c\u3001<strong>\u3053\u308c\u304c\u809d\u6bd2\u6027\u306e\u4e3b\u56e0<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u6bd2\u6027\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306e\u5dee\u7570\uff08\u81e8\u5e8a\u4e0a\u91cd\u8981\uff09<\/strong>\uff1a17\u03b1-\u30a2\u30eb\u30ad\u30eb\u5316\u7d4c\u53e3\u5264\u306f\u80c6\u6c41\u3046\u3063\u6ede\u30fbpeliosis hepatis\u30fb\u809d\u816b\u760d\u3068\u5f37\u304f\u95a2\u9023\u3059\u308b\u4e00\u65b9\u3001\u975e\u30a2\u30eb\u30ad\u30eb\u5316\u306e\u6ce8\u5c04\u7528\u30a8\u30b9\u30c6\u30eb\u5264\u30fb19-\u30ce\u30eb\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u8a98\u5c0e\u4f53\u3067\u306f\u809d\u80c6\u9053\u6bd2\u6027\u306f\u307e\u308c\uff08Machado, Liver Int 2011\uff09\u3002\u305f\u3060\u3057\u6ce8\u5c04\u5264\u3082\u5fc3\u8840\u7ba1\u30fb\u5185\u5206\u6ccc\u6bd2\u6027\u306f\u540c\u7b49\u4ee5\u4e0a\u3002<\/li>\n\n\n\n<li><strong>\u7528\u91cf\u30aa\u30fc\u30c0\u30fc<\/strong>\uff1a\u5b9f\u9a13\u7684\u306b\u306f\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u30a8\u30ca\u30f3\u30c6\u30fc\u30c8\u9031600mg\u3067\u3082\u8d85\u751f\u7406\u7684\uff08Bhasin et al., NEJM 1996\uff09\u3002\u5e02\u4e2d\u306e\u4f7f\u7528\u8005\u306f\u7537\u6027\u5185\u56e0\u6027\u7523\u751f\u306e<strong>5\u301c100\u500d<\/strong>\u3092\u5831\u544a\uff08Brower 2002\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2.2 SARMs\uff08\u9078\u629e\u7684\u30a2\u30f3\u30c9\u30ed\u30b2\u30f3\u53d7\u5bb9\u4f53\u30e2\u30b8\u30e5\u30ec\u30fc\u30bf\u30fc\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ostarine\uff08MK-2866\/enobosarm\uff09\u3001ligandrol\uff08LGD-4033\uff09\u3001RAD-140\uff08testolone\uff09\u3001andarine\uff08S-4\uff09\u3001YK-11\u306a\u3069\u3002<\/li>\n\n\n\n<li>\u3044\u305a\u308c\u3082<strong>FDA\u672a\u627f\u8a8d\u30fb\u81e8\u5e8a\u5fdc\u7528\u306f\u6cbb\u9a13\u6bb5\u968e<\/strong>\uff08\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3001\u60aa\u6db2\u8cea\u3001\u9aa8\u7c97\u9b06\u75c7\u7b49\u3067\u7814\u7a76\u4e2d\uff09\u3002WADA\u3067\u306f\u5168\u3066\u7981\u6b62\uff08S1.2\u300c\u305d\u306e\u4ed6\u306e\u540c\u5316\u85ac\u300d\uff09\u3002<\/li>\n\n\n\n<li><strong>\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u8868\u793a\u507d\u88c5<\/strong>\uff1a\u5e02\u8ca9\u300c\u30b5\u30d7\u30ea\u300d\u306b\u30e9\u30d9\u30eb\u975e\u8868\u793a\u306eSARMs\u3084AAS\u304c\u6df7\u5165\u3059\u308b\u554f\u984c\u304c\u7e70\u308a\u8fd4\u3057\u5831\u544a\u3055\u308c\u3001SARMs\u306f\u6c5a\u67d3\u30b5\u30d7\u30ea\u306e\u4e3b\u8981\u672a\u7533\u544a\u6210\u5206\u306e\u4e00\u3064\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2.3 \u6210\u9577\u30db\u30eb\u30e2\u30f3\u30fbIGF-1\u30fbGH\u5206\u6ccc\u4fc3\u9032\u85ac<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>rhGH\u3001IGF-1\uff08\u304a\u3088\u3073IGF-1 LR3\/DES\uff09\u3001GHRP-2\/6\u3001ipamorelin\u3001CJC-1295\u3001MK-677\uff08ibutamoren\uff09\u3002<\/li>\n\n\n\n<li>\u3057\u3070\u3057\u3070AAS\u30fb\u30a4\u30f3\u30b9\u30ea\u30f3\u3068\u4f75\u7528\uff08Holt &amp; S\u00f6nksen, Br J Pharmacol 2008\uff09\u3002\u904e\u91cfGH\u306f\u5148\u7aef\u5de8\u5927\u75c7\u69d8\u5909\u5316\u3092\u60f9\u8d77\u3057\u3001\u7cd6\u4ee3\u8b1d\u7570\u5e38\u30fb\u5fc3\u75be\u60a3\u3092\u62db\u304f\u3002\u6162\u6027GH\/IGF-1\u904e\u5270\u306f\u7d50\u8178\u30fb\u4e73\u817a\u30fb\u524d\u7acb\u817a\u764c\u30ea\u30b9\u30af\u3068\u306e\u95a2\u9023\u304c\u8b70\u8ad6\u3055\u308c\u308b\uff08IGF-1\u304c\u7d30\u80de\u5468\u671f\u9032\u884c\u4fc3\u9032\u30fb\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\u6291\u5236\uff09\u3002\u4e0b\u5782\u4f53\u7531\u6765GH\u306fCreutzfeldt-Jakob\u75c5\u4f1d\u64ad\u306e\u6b74\u53f2\u3042\u308a\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2.4 \u305d\u306e\u4ed6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30a4\u30f3\u30b9\u30ea\u30f3\uff08\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u9818\u57df\uff09\u3001\u03b22\u4f5c\u52d5\u85ac\uff08\u30af\u30ec\u30f3\u30d6\u30c6\u30ed\u30fc\u30eb\u3001\u30b5\u30eb\u30d6\u30bf\u30e2\u30fc\u30eb\uff09\u3001\u5229\u5c3f\u85ac\u3001\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\uff08T3\/T4\uff09\u3001DNP\u3001EPO\/HIF\u5b89\u5b9a\u5316\u85ac\uff08roxadustat\u7b49\uff09\u3001\u8208\u596e\u85ac\uff08\u30a2\u30f3\u30d5\u30a7\u30bf\u30df\u30f3\u985e\u3001\u30e1\u30c1\u30eb\u30d5\u30a7\u30cb\u30c7\u30fc\u30c8\u3001\u30a8\u30d5\u30a7\u30c9\u30ea\u30f3\u3001DMAA\u3001\u9ad8\u7528\u91cf\u30ab\u30d5\u30a7\u30a4\u30f3\uff09\u3001AI\uff08\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\u3001\u30ec\u30c8\u30ed\u30be\u30fc\u30eb\uff09\u3001SERM\uff08\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3001\u30af\u30ed\u30df\u30d5\u30a7\u30f3\uff09\u3001hCG\u3001\u30e1\u30eb\u30c9\u30cb\u30a6\u30e0\u3001DHEA\u30fb\u30d7\u30ed\u30db\u30eb\u30e2\u30f3\u3001\u30da\u30d7\u30c1\u30c9\uff08BPC-157\u3001TB-500\uff09\u3001\u30df\u30aa\u30b9\u30bf\u30c1\u30f3\u963b\u5bb3\u85ac\u3001\u907a\u4f1d\u5b50\u30c9\u30fc\u30d4\u30f3\u30b0\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">3. \u81d3\u5668\u7cfb\u5225\u306e\u6709\u5bb3\u4e8b\u8c61\u3068\u5f8c\u907a\u75c7<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">3.1 \u5fc3\u8840\u7ba1\u7cfb\uff08\u6700\u91cd\u8981\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u30c6\u30fc\u30d6\u30eb\uff1aAAS\u3068\u5fc3\u8840\u7ba1<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u6240\u898b<\/th><th>\u4e3b\u8981\u7814\u7a76<\/th><th>\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb<\/th><th>\u4e3b\u8981\u30c7\u30fc\u30bf<\/th><\/tr><\/thead><tbody><tr><td>\u5de6\u5ba4\u53ce\u7e2e\u30fb\u62e1\u5f35\u6a5f\u80fd\u4f4e\u4e0b\u3001\u51a0\u52d5\u8108\u30d7\u30e9\u30fc\u30af\u91cf\u5897\u52a0<\/td><td>Baggish et al., Circulation 2017;135:1991-2002<\/td><td>\u6a2a\u65ad\u30b3\u30db\u30fc\u30c8\uff08n=140\uff09<\/td><td>\u4f7f\u7528\u8005LVEF 52\u00b111% vs \u975e\u4f7f\u7528\u800563\u00b18%\uff08p&lt;0.001\uff09\u3002\u4f7f\u7528\u4e2d\u7fa4LVEF 49\u00b110% vs \u4f11\u85ac\u7fa458\u00b110%\u3002\u30d7\u30e9\u30fc\u30af\u91cf\u306f\u751f\u6daf\u7d2f\u7a4d\u91cf\u3068\u7528\u91cf\u4f9d\u5b58\u95a2\u4fc2<\/td><\/tr><tr><td>\u65e9\u767a\u6027\u51a0\u52d5\u8108\u75be\u60a3\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u7a81\u7136\u6b7b<\/td><td>\u75c7\u4f8b\u5831\u544a\u30fb\u5256\u691c\u7814\u7a76\u3001JACC Case Rep 2025\uff0830\u6b73\u3001OCT\u3067\u30d7\u30e9\u30fc\u30af\u3073\u3089\u3093\u30fb\u8840\u6813\uff09<\/td><td>\u75c7\u4f8b\u5831\u544a<\/td><td>\u82e5\u5e74\uff08&lt;40\u6b73\uff09\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u30c0\u30fc\u306e\u91cd\u75c7CAD\u30fbMI\u30fbSCD<\/td><\/tr><tr><td>\u672b\u68a2\u30fb\u51a0\u52d5\u8108\u30a2\u30c6\u30ed\u30fc\u30e0\u3001\u77f3\u7070\u5316<\/td><td>FIDO-DK study\uff08Denmark, medRxiv 2024\uff09<\/td><td>\u6a2a\u65ad\u30b3\u30db\u30fc\u30c8<\/td><td>\u7537\u5973\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u4f7f\u7528\u8005\u306e\u9838\u52d5\u8108\u30fb\u5927\u817f\u52d5\u8108\u30fb\u51a0\u52d5\u8108\u8a55\u4fa1<\/td><\/tr><tr><td>\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08MI, PCI\/CABG, VTE, \u8133\u5352\u4e2d, \u4e0d\u6574\u8108, \u5fc3\u7b4b\u75c7\uff09<\/td><td>Denmark national cohort\uff08Circulation 2024\/2025\uff09<\/td><td>\u5168\u56fd\u30b3\u30db\u30fc\u30c8<\/td><td>AAS\u4f7f\u7528\u8005\u3067\u767a\u751f\u7387\u4e0a\u6607<\/td><\/tr><tr><td>\u5de6\u5ba4\u80a5\u5927\u30fb\u7a81\u7136\u6b7b<\/td><td>Thiblin et al.\uff08\u5256\u691c\u3001n=87\uff09<\/td><td>\u5256\u691c\u7814\u7a76<\/td><td>AAS\u967d\u6027\u5256\u691c\u4f8b\u3067\u5fc3\u80a5\u5927<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6a5f\u5e8f\uff1a\u8102\u8cea\u7570\u5e38\uff08HDL\u8457\u660e\u4f4e\u4e0b\u3001LDL\u4e0a\u6607\u3001Lp(a)\u3001HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u9006\u8ee2\u9001\u969c\u5bb3\u2014de Souza et al., Atherosclerosis 2019\uff09\u3001\u9ad8\u8840\u5727\u3001\u5fc3\u7b4b\u7dda\u7dad\u5316\u3001\u8840\u6813\u50be\u5411\u3002\u52b9\u679c\u306f\u7528\u91cf\u4f9d\u5b58\u3002<\/li>\n\n\n\n<li>\u4e00\u90e8\u306e\u8868\u73fe\u578b\uff08LV\u53ce\u7e2e\u6a5f\u80fd\uff09\u306f\u4f11\u85ac\u3067\u6539\u5584\u3057\u3046\u308b\u304c\u3001\u62e1\u5f35\u6a5f\u80fd\u969c\u5bb3\u30fb\u51a0\u52d5\u8108\u30a2\u30c6\u30ed\u30fc\u30e0\u306f<strong>\u4e0d\u53ef\u9006\u306e\u53ef\u80fd\u6027<\/strong>\uff08Baggish\uff09\u3002\u958b\u59cb\u5e73\u5747\u5e74\u9f6223\u6b73\u30672\u5e74\u4ee5\u5185\u306b\u5fc3\u8840\u7ba1\u5f71\u97ff\u304c\u51fa\u73fe\u3057\u3001\u52d5\u8108\u786c\u5316\u3092\u6700\u592720\u5e74\u52a0\u901f\u3055\u305b\u3046\u308b\u3068\u793a\u5506\u3002<\/li>\n\n\n\n<li><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u30ae\u30e3\u30c3\u30d7<\/strong>\uff1a\u7981\u6b62\u5f8c\u306e\u53ef\u9006\u6027\u3092\u8a55\u4fa1\u3057\u305f\u7e26\u65ad\u7814\u7a76\u304c\u4e0d\u8db3\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.2 \u5185\u5206\u6ccc\u7cfb<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>HPG\u8ef8\u6291\u5236\u2192ASIH<\/strong>\uff1a\u5916\u56e0\u6027\u30a2\u30f3\u30c9\u30ed\u30b2\u30f3\u304cGnRH\/LH\/FSH\u3092\u8ca0\u306e\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3067\u6291\u5236\u3057\u3001\u7cbe\u5de3\u5185\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4f4e\u4e0b\u2192\u7cbe\u5b50\u5f62\u6210\u969c\u5bb3\u3002<\/li>\n\n\n\n<li><strong>\u56de\u5fa9\u30c7\u30fc\u30bf<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>Vilar Neto et al.\uff08Andrologia 2021\uff09\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff1a179\u4f8b\u5206\u6790\u3001\u3046\u3061\u8ee2\u5e30\u5b8c\u5168\u65e2\u77e5\u306f38\u4f8b\u3001<strong>\u5b8c\u5168\u53ef\u9006\u306f\u308f\u305a\u304b4\u4f8b<\/strong>\u3002<\/li>\n\n\n\n<li>Lykhonosov et al.\uff08Probl Endokrinol\uff09\uff1a3\u304b\u6708\u4f11\u85ac+PCT\u306779.5%\u304c\u56de\u5fa9\u300120.5%\u306f\u672a\u56de\u5fa9\u3002\u4f7f\u7528\u671f\u9593\u30fb\u85ac\u5264\u6570\u30fb\u7528\u91cf\u30fb\u7a2e\u985e\u304c\u56de\u5fa9\u306b\u8ca0\u306e\u5f71\u97ff\u3002inhibin B\u304c\u7cbe\u5b50\u5f62\u6210\u4e0a\u76ae\u56de\u5fa9\u306e\u30de\u30fc\u30ab\u30fc\u3002<\/li>\n\n\n\n<li>HAARLEM study\uff08Smit et al., Hum Reprod 2021, n=100\uff09\uff1a\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u306f\u7d043\u304b\u6708\u3067\u6b63\u5e38\u5316\u3001\u7cbe\u5b50\u5f62\u6210\u56de\u5fa9\u306f\u7d041\u5e74\u3002\u30b5\u30a4\u30af\u30eb\u7d42\u4e86\u664266%\u304c\u4e4f\u7cbe\u5b50\u75c7\/\u7121\u7cbe\u5b50\u75c7\u3001\u5168\u4f8b\u3067LH\/FSH\u691c\u51fa\u4e0d\u80fd\u3002<\/li>\n\n\n\n<li>Shankara-Narayana et al.\uff08JCEM 2020\uff09\uff1a\u5185\u5206\u6ccc\u6307\u6a197\u301c10\u304b\u6708\u3001\u7cbe\u5b50\u6307\u6a1910\u301c14\u304b\u6708\u3067\u56de\u5fa9\u3002\u7cbe\u5de3\u5bb9\u7a4d\u306f\u6b8b\u5b58\u7684\u306b\u7e2e\u5c0f\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u5973\u6027\u306e\u7537\u6027\u5316<\/strong>\uff1a\u55c4\u58f0\u30fb\u591a\u6bdb\u30fb\u9670\u6838\u80a5\u5927\u306f<strong>\u4e0d\u53ef\u9006<\/strong>\u3068\u306a\u308a\u3046\u308b\uff08Reinke\u6d6e\u816b\u30fb\u58f0\u5e2f\u5145\u8840\u2192\u97f3\u58f0\u5909\u5316\uff09\u3002\u6708\u7d4c\u7570\u5e38\u3001\u4e73\u623f\u840e\u7e2e\u3002\u7528\u91cf\u30fb\u671f\u9593\u30fb\u85ac\u5264\u4f9d\u5b58\u3002\u8cea\u7684\u7814\u7a76\u3067\u306f\u3001\u53ef\u9006\u7684\u5909\u5316\u3088\u308a\u4e0d\u53ef\u9006\u7684\u5909\u5316\uff08\u58f0\u30fb\u5916\u6027\u5668\uff09\u304c\u5fc3\u7406\u7684\u306b\u53d7\u3051\u5165\u308c\u56f0\u96e3\u3067\u7f9e\u6065\u30fb\u5f8c\u6094\u3092\u4f34\u3046\uff08Havnes et al., Int J Drug Policy 2020\uff09\u3002<\/li>\n\n\n\n<li><strong>\u82e5\u5e74\u8005<\/strong>\uff1a\u9aa8\u7aef\u7dda\u65e9\u671f\u9589\u9396\u306b\u3088\u308b\u4f4e\u8eab\u9577\u3002<\/li>\n\n\n\n<li><strong>\u5973\u6027\u5316\u4e73\u623f<\/strong>\uff08\u7537\u6027\uff09\uff1a\u30a2\u30ed\u30de\u5316\u306b\u3088\u308b\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4e0a\u6607\u3002\u5916\u79d1\u7684\u5207\u9664\u304c\u5fc5\u8981\u306a\u5834\u5408\u3042\u308a\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.3 \u809d\u80c6\u9053\u7cfb<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>17\u03b1-\u30a2\u30eb\u30ad\u30eb\u5316\u7d4c\u53e3\u5264\u3067\uff1a\u80c6\u6c41\u3046\u3063\u6ede\u6027\u9ec4\u75b8\u3001peliosis hepatis\uff08\u8840\u6db2\u5145\u6e80\u8154\u3001\u7834\u88c2\u3067\u81f4\u6b7b\u7684\u8179\u8154\u5185\u51fa\u8840\uff09\u3001\u809d\u817a\u816b\u3001\u809d\u7d30\u80de\u764c\u3002\u30aa\u30ad\u30b7\u30e1\u30c8\u30ed\u30f3\u30fb\u30e1\u30c1\u30eb\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u306fHCC\u3068\u95a2\u9023\u3002\u30b9\u30bf\u30ce\u30be\u30ed\u30fc\u30eb\u3067\u4e2d\u5fc3\u5c0f\u8449\u6027\u809d\u7d30\u80de\u969c\u5bb3\u30fb\u809d\u4e0d\u5168\u4f8b\u3002<\/li>\n\n\n\n<li><strong>SARMs\u95a2\u9023DILI<\/strong>\uff1aLGD-4033\u30fbRAD-140\u3067\u82e5\u5e74\u7537\u6027\uff0822\u301c52\u6b73\uff09\u306e\u80c6\u6c41\u3046\u3063\u6ede\u578b\u809d\u969c\u5bb3\u306e\u75c7\u4f8b\u5831\u544a\u96c6\u7a4d\u3002\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3\u6700\u9ad838.5mg\/dL\u3001\u6f5c\u4f0f\u671f5\u301c16\u9031\u3002<strong>\u5168\u4f8b\u304c\u4e2d\u6b62\u3067\u56de\u5fa9\u3001\u5287\u75c7\u809d\u4e0d\u5168\u30fb\u6b7b\u4ea1\u4f8b\u306a\u3057<\/strong>\uff08\u73fe\u6642\u70b9\u306e\u75c7\u4f8b\u5831\u544a\u30d9\u30fc\u30b9\uff09\u3002enobosarm\u95a2\u9023DILI\u4f8b\u3082\u5831\u544a\u3002<\/li>\n\n\n\n<li><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u30ae\u30e3\u30c3\u30d7<\/strong>\uff1aSARMs\u809d\u6bd2\u6027\u306e\u771f\u306e\u983b\u5ea6\u30fb\u7528\u91cf\u6bd2\u6027\u95a2\u4fc2\u306f\u4e0d\u660e\uff08\u591a\u304f\u304c\u7279\u767a\u6027DILI\u306e\u7bc4\u7587\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.4 \u814e<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5de3\u72b6\u5206\u7bc0\u6027\u7cf8\u7403\u4f53\u786c\u5316\u75c7\uff08FSGS\uff09<\/strong>\uff1aHerlitz et al.\uff08J Am Soc Nephrol 2010\uff09\u2014\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u30c0\u30fc10\u4f8b\u3001\u86cb\u767d\u5c3f\u5e73\u574710.1g\/\u65e5\uff08\u7bc4\u56f21.3\u301c26.3\uff09\u3001\u8840\u6e05Cr\u5e73\u57473.0mg\/dL\u3001\u751f\u691c\u30679\u4f8bFSGS\u30014\u4f8b\u306b\u7cf8\u7403\u4f53\u5de8\u5927\u75c7\u30023\u4f8b\u304c\u30cd\u30d5\u30ed\u30fc\u30bc\u75c7\u5019\u7fa4\u3002\u6a5f\u5e8f\u306f\u7b4b\u91cf\u5897\u52a0\u306b\u3088\u308b\u7cf8\u7403\u4f53\u904e\u5270\u6ffe\u904e+\u76f4\u63a5\u814e\u6bd2\u6027\u306e\u4e8c\u91cd\u6a5f\u5e8f\u3002\u4e2d\u6b62+RAS\u963b\u5bb3\u3067\u591a\u304f\u304c\u5b89\u5b9a\u5316\u30fb\u6539\u5584\u30011\u4f8bESRD\u9032\u884c\u3002<\/li>\n\n\n\n<li>\u6a2a\u7d0b\u7b4b\u878d\u89e3\u306b\u4f34\u3046AKI\u3001\u5229\u5c3f\u85ac\u4e71\u7528\u306b\u3088\u308b\u8131\u6c34\u30fb\u96fb\u89e3\u8cea\u7570\u5e38\u3002<\/li>\n\n\n\n<li><strong>\u4ea4\u7d61\u56e0\u5b50<\/strong>\uff1a\u9ad8\u86cb\u767d\u98df\uff08300\u301c550g\/\u65e5\uff09\u30fb\u9ad8\u7528\u91cf\u30af\u30ec\u30a2\u30c1\u30f3\u30fb\u30d3\u30bf\u30df\u30f3A\/D\/E\u904e\u5270\u306b\u3088\u308b\u814e\u77f3\u7070\u5316\u30fbNSAIDs\u3002&#8221;gym nephropathy&#8221;\u306e\u6982\u5ff5\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.5 \u8840\u6db2<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e8c\u6b21\u6027\u8d64\u8840\u7403\u5897\u591a\u75c7\u30fb\u591a\u8840\u75c7\uff08\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u8a98\u767a\uff09\u3001\u8840\u6db2\u7c98\u7a20\u5ea6\u4e0a\u6607\u3001\u9759\u8108\u8840\u6813\u585e\u6813\u75c7\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.6 \u7cbe\u795e\u30fb\u795e\u7d4c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u653b\u6483\u6027\uff08roid rage\uff09<\/strong>\uff1a\u5b9f\u9a13\u7684\u7814\u7a76\u306e\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u30fb\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff08Nelson et al., PMC8233285\uff09\u3067\u81ea\u5df1\u7533\u544a\u653b\u6483\u6027\u306e\u5897\u52a0\u3092\u793a\u3059\u304c\u52b9\u679c\u91cf\u306f\u4e2d\u7b49\u5ea6\u3001\u4ea4\u7d61\u304c\u5927\u304d\u3044\u3002\u9ad8\u7528\u91cf\uff08&gt;500mg\uff09\u3067\u3088\u308a\u9855\u8457\u3002<\/li>\n\n\n\n<li><strong>\u8e81\u30fb\u7cbe\u795e\u75c5\u75c7\u72b6<\/strong>\uff1aPope &amp; Katz\u2014AAS\u4f7f\u7528\u8005\u306e22%\u306b\u5b8c\u5168\u306a\u611f\u60c5\u75c7\u5019\u7fa4\u300112%\u306b\u7cbe\u795e\u75c5\u75c7\u72b6\uff08DSM-III-R\u9069\u7528\uff09\u3002<\/li>\n\n\n\n<li><strong>\u96e2\u8131\u671f\u306e\u3046\u3064\u30fb\u81ea\u6bba\u30ea\u30b9\u30af<\/strong>\uff1a\u4e2d\u6b62\u5f8c\u306e\u4f4e\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u72b6\u614b\u3067\u3046\u3064\u30fb\u81ea\u6bba\u5ff5\u616e\u3002\u7cbe\u795e\u79d1\u9023\u643a\u304c\u5fc5\u9808\u3002<\/li>\n\n\n\n<li><strong>\u4f9d\u5b58\u75c7\u5019\u7fa4<\/strong>\uff1aDSM\u57fa\u6e96\u3092\u4fee\u6b63\u9069\u7528\uff08Kanayama et al. 2009\uff09\u3001\u4f7f\u7528\u8005\u306e\u6700\u592730%\u304c\u4f9d\u5b58\u3002<\/li>\n\n\n\n<li><strong>\u8a8d\u77e5\u30fb\u8133\u753b\u50cf<\/strong>\uff1a\u8133\u5e74\u9f62\u52a0\u901f\u3001\u7070\u767d\u8cea\u30fb\u611f\u60c5\u8a8d\u8b58\u969c\u5bb3\u306e\u7814\u7a76\uff08Bj\u00f8rnebekk, Hauger et al.\uff09\u3002\u8d85\u751f\u7406\u7684\u7528\u91cf\u306f\u65e9\u767a\u8a8d\u77e5\u75c7\u3068\u3082\u95a2\u9023\u304c\u793a\u5506\uff08StatPearls\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.7 \u7b4b\u9aa8\u683c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8171\u65ad\u88c2\uff08\u5927\u80f8\u7b4b\u30fb\u30a2\u30ad\u30ec\u30b9\u8171\uff09\uff1a\u6025\u6fc0\u306a\u7b4b\u529b\u5897\u52a0\u306b\u8171\u304c\u8ffd\u968f\u3067\u304d\u305a\u3002\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u30c0\u30fc\u306e\u5927\u80f8\u7b4b\u65ad\u88c26\u4f8b\u306e\u30b1\u30fc\u30b9\u30b7\u30ea\u30fc\u30ba\uff08\u3046\u30611\u4f8b\u306f\u8853\u5f8c1\u5e74\u4ee5\u5185\u306bMI\u6b7b\uff09\u3002\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u75c7\u5019\u7fa4\u3002\u8171\u7d44\u7e54\u306e\u8d85\u5fae\u5f62\u614b\u306b\u660e\u78ba\u306a\u5dee\u306f\u898b\u3044\u3060\u3055\u308c\u3066\u3044\u306a\u3044\uff08\u8ca0\u8377\u904e\u5927\u304c\u4e3b\u6a5f\u5e8f\u3068\u793a\u5506\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.8 \u611f\u67d3\u75c7\u30fb\u5c40\u6240<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6ce8\u5c04\u624b\u6280\u306b\u4f34\u3046\u81bf\u760d\u3001B\u578b\u30fbC\u578b\u809d\u708e\u3001HIV\u3001\u6ce8\u5c04\u90e8\u4f4d\u306e\u8089\u82bd\u816b\u30fb\u7dda\u7dad\u5316\u3002<strong>Synthol\/site enhancement oil<\/strong>\uff08\u5408\u6210\u6cb9\uff09\u306b\u3088\u308b\u5c40\u6240\u5408\u4f75\u75c7\uff08\u6cb9\u816b\u30fb\u7dda\u7dad\u5316\u30fb\u585e\u6813\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.9 \u76ae\u819a<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u91cd\u75c7\u3056\u7621\uff08\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u3056\u7621\uff09\u3001\u8102\u6f0f\u3001\u7537\u6027\u578b\u8131\u6bdb\u3002\u4f7f\u7528\u8005\u306e80%\u8d85\u304c\u8efd\u5fae\u306a\u526f\u4f5c\u7528\uff08\u3056\u7621\u30fb\u5973\u6027\u5316\u4e73\u623f\u30fb\u76ae\u819a\u7dda\u6761\uff09\u3092\u5831\u544a\u30022006\u5e74\u8abf\u67fb\u3067\u306f\u307b\u307c100%\u304c\u4f55\u3089\u304b\u306e\u526f\u4f5c\u7528\u3092\u5831\u544a\uff08Parkinson &amp; Evans\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.10 \u6b7b\u4ea1\u7387<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\uff08Thiblin\u7cfb\uff09\uff1a\u5e73\u5747\u5e74\u9f62\u7d0423\u6b73\u306eAAS\u4f7f\u7528\u8005248\u4f8b vs \u5bfe\u71671215\u4f8b\u306e\u30b1\u30fc\u30b9\u30b3\u30db\u30fc\u30c8\u3067\u3001AAS\u967d\u6027\u306e<strong>\u6a19\u6e96\u5316\u6b7b\u4ea1\u6bd420.43\uff0895% CI 10.56\u201335.70\uff09<\/strong>\uff08\u9670\u6027\u7fa46.02\uff09\u3002\u6b7b\u56e0\u306f\u81ea\u6bba3\u30fb\u6025\u6027\u5fc3\u7b4b\u6897\u585e3\u30fb\u809d\u6027\u660f\u77611\u30fb\u975e\u30db\u30b8\u30ad\u30f3\u30ea\u30f3\u30d1\u816b1\u3002<\/li>\n\n\n\n<li>\u30c7\u30f3\u30de\u30fc\u30af\uff08Horwitz et al., J Intern Med 2019, n=545 vs 5450\uff09\uff1a<strong>\u6b7b\u4ea1\u306fAAS\u4f7f\u7528\u8005\u30673\u500d\uff08\u30cf\u30b6\u30fc\u30c9\u6bd43.0\u300195% CI 1.3\u20137.0\uff09<\/strong>\u3002<\/li>\n\n\n\n<li>\u5225\u306e\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\u30b3\u30db\u30fc\u30c8\uff08AAS\u691c\u67fb\u967d\u6027\u8005\uff09\u3067\u306f\u4e00\u822c\u4eba\u53e3\u6bd4\u3067\u5168\u6b7b\u56e0\u65e9\u671f\u6b7b\u4ea1\u30ea\u30b9\u30af\u4e0a\u6607\uff08AAS\u967d\u6027SMR 19.3\u300195% CI 12.4\u201330.0\uff09\u3002<\/li>\n\n\n\n<li>\u7dcf\u3058\u3066\u6162\u6027\u4f7f\u7528\u8005\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u306f\u5bfe\u7167\u306e\u7d042\u301c3\u500d\uff08StatPearls\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">4. \u85ac\u5264\u5225\u306e\u6025\u6027\u4e2d\u6bd2\u30fb\u81f4\u6b7b\u75c5\u614b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">4.1 \u30af\u30ec\u30f3\u30d6\u30c6\u30ed\u30fc\u30eb\uff08\u03b22\u4f5c\u52d5\u85ac\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u983b\u8108\uff08\u6d1e\u6027140\/min\uff09\u3001\u4f4e\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\uff082.4mEq\/L\uff09\u3001\u4f4e\u30ea\u30f3\u30fb\u4f4e\u30de\u30b0\u30cd\u30b7\u30a6\u30e0\u8840\u75c7\u3001\u9ad8\u8840\u7cd6\u3001\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3001\u5fc3\u7b4b\u6897\u585e\u30fb\u4e0d\u6574\u8108\u30fb\u6a2a\u7d0b\u7b4b\u878d\u89e3\uff08Hoffman et al., J Toxicol Clin Toxicol 2001\uff09\u3002\u534a\u6e1b\u671f\u304c\u9577\u304f\u75c7\u72b6\u304c1\u301c8\u65e5\u6301\u7d9a\u3002<\/li>\n\n\n\n<li>NSW\u4e2d\u6bd2\u60c5\u5831\u30bb\u30f3\u30bf\u30fc\uff1a2004\u301c2012\u5e74\u306b63\u4f8b\uff082008\u5e743\u4f8b\u21922012\u5e7427\u4f8b\u3068\u6025\u5897\uff09\u300184%\u304c\u5165\u9662\u300121\u6b73\u7537\u6027\u304c\u5fc3\u505c\u6b62\u3002<\/li>\n\n\n\n<li>\u6cbb\u7642\u306f\u652f\u6301\u7642\u6cd5\uff08\u8f38\u6db2\u3001\u03b2\u906e\u65ad\u85acmetoprolol\u3001K\u88dc\u5145\uff09\u3002\u98df\u8089\u6c5a\u67d3\u306b\u3088\u308b\u4e2d\u6bd2\u4f8b\u3082\u3042\u308a\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.2 \u5229\u5c3f\u85ac\u30fb\u30b3\u30f3\u30c6\u30b9\u30c8\u524d\u8131\u6c34<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30d5\u30ed\u30bb\u30df\u30c9\u3001\u30b9\u30d4\u30ed\u30ce\u30e9\u30af\u30c8\u30f3\u3001\u30a2\u30bb\u30bf\u30be\u30e9\u30df\u30c9\u3002\u96fb\u89e3\u8cea\u7570\u5e38\uff08\u4f4e\/\u9ad8K\uff09\u3001\u6a2a\u7d0b\u7b4b\u878d\u89e3\u3001\u81f4\u6b7b\u7684\u4e0d\u6574\u8108\u3001AKI\u3002<\/li>\n\n\n\n<li>\u6b7b\u4ea1\u30fb\u91cd\u75c7\u4f8b\uff1aMohammed Benaziza\uff081992\u3001\u8131\u6c34\u2192\u5fc3\u4e0d\u5168\u300133\u6b73\uff09\u3001Albert Beckles\uff081988\u3001\u30b9\u30c6\u30fc\u30b8\u4e0a\u3067\u75d9\u6523\u30fb\u8607\u751f\uff09\u3001Jodi Vance\uff082025\u3001\u30ab\u30ea\u30a6\u30e0\u4fdd\u6301\u6027\u5229\u5c3f\u85ac+\u8102\u80aa\u71c3\u713c\u85ac\u3067\u5fc3\u505c\u6b62\u300120\u6b73\uff09\u3002\u591a\u304f\u306e\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u5927\u4f1a\u3067\u300c\u30b9\u30c6\u30fc\u30b8\u4e0a\u3067\u306e\u6b7b\u4ea1\u3092\u9632\u3050\u305f\u3081\u300d\u5229\u5c3f\u85ac\u304c\u4e3b\u8981\u691c\u67fb\u5bfe\u8c61\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.3 \u30a4\u30f3\u30b9\u30ea\u30f3<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u9818\u57df\u3067\u540c\u5316\u76ee\u7684\u306b\u4f7f\u7528\u3002<strong>\u4f4e\u8840\u7cd6\u660f\u7761\u30fb\u6b7b\u4ea1<\/strong>\u3002\u4f4e\u8840\u7cd6\u306b\u3088\u308b\u7a81\u7136\u6b7b\u306e\u6a5f\u5e8f\u306f\u4e0d\u6574\u8108\u30fb\u8133\u3066\u3093\u304b\u3093\u3002<\/li>\n\n\n\n<li><strong>\u6cd5\u533b\u5b66\u7684\u691c\u51fa\u56f0\u96e3<\/strong>\uff1a\u6b7b\u5f8c\u30a4\u30f3\u30b9\u30ea\u30f3\u306f\u6025\u901f\u5206\u89e3\u3001\u5185\u56e0\u6027\/\u5916\u56e0\u6027\u306e\u533a\u5225\u56f0\u96e3\u3002injection site\u30fbC-peptide\/insulin\u6bd4\u30fb\u785d\u5b50\u4f53\u6db2\u304c\u624b\u304c\u304b\u308a\u3002\u6b7b\u5f8c\u4ee3\u8b1d\u7269\u89e3\u6790\uff08metabolomics\uff09\u3067\u4f4e\u8840\u7cd6\u95a2\u9023\u6b7b\u306f\u904e\u5c0f\u8a3a\u65ad\uff08\u7121\u4f5c\u70ba776\u5256\u691c\u4f8b\u4e2d5.9%\u304c\u6f5c\u5728\u7684\u4f4e\u8840\u7cd6\u95a2\u9023\u6b7b\u306e\u53ef\u80fd\u6027\u2014Ward et al., Metabolites 2022\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.4 DNP\uff082,4-\u30b8\u30cb\u30c8\u30ed\u30d5\u30a7\u30ce\u30fc\u30eb\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u8131\u5171\u5f79\u5264\u3002<strong>\u81f4\u6b7b\u7684\u9ad8\u4f53\u6e29<\/strong>\u3001\u983b\u8108\u30fb\u983b\u547c\u5438\u30fb\u767a\u6c57\u306e\u4e09\u5fb4\u3001\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3001\u9ad8K\u8840\u75c7\u3002\u81f4\u6b7b\u4f8b\u306f\u6442\u53d6\u5f8c\u5e73\u574714\u6642\u9593\u3067\u6b7b\u4ea1\u3002<\/li>\n\n\n\n<li>\u75c7\u4f8b\uff1a21\u6b73\u30dc\u30c7\u30a3\u30fc\u30d3\u30eb\u30c0\u30fc\uff08\u8840\u4e2d88mg\/L\u30016\u304b\u6708\u53cd\u5fa9\u6442\u53d6\u5f8c2g\u6442\u53d6\u3067\u591a\u81d3\u5668\u4e0d\u5168\u6b7b\u3001AAS\u3068\u4f75\u7528\u3001muscle dysmorphia\u5408\u4f75\u2014Hermetet et al., Front Public Health 2024\uff09\u3002DNP\u306f\u30b5\u30ea\u30c1\u30eb\u9178\u30a2\u30c3\u30bb\u30a4\u306b\u507d\u967d\u6027\u306e\u4ea4\u5dee\u53cd\u5fdc\uff08100mg\/L\u4ee5\u4e0a\uff09\u3002\u60aa\u6027\u9ad8\u71b1\u3068\u306e\u9451\u5225\u304c\u554f\u984c\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.5 \u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\uff08T3\/T4\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6e1b\u91cf\u76ee\u7684\u3002\u533b\u539f\u6027\u7532\u72b6\u817a\u4e2d\u6bd2\u75c7\u3001\u983b\u8108\u30fb\u4e0d\u6574\u8108\u30fb\u9aa8\u91cf\u6e1b\u5c11\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.6 EPO\/\u8840\u6db2\u30c9\u30fc\u30d4\u30f3\u30b0\/HIF\u5b89\u5b9a\u5316\u85ac<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>rhEPO\u3001darbepoetin\u3001CERA\u3001HIF\u6d3b\u6027\u5316\u85ac\uff08roxadustat\u3001daprodustat\u7b49\uff09\u3002<\/li>\n\n\n\n<li>\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u4e0a\u6607\u2192\u8840\u6db2\u7c98\u7a20\u5ea6\u4e0a\u6607\u2192\u8840\u6813\u585e\u6813\u75c7\u30fbMI\u30fb\u8133\u5352\u4e2d\u30fb\u9ad8\u8840\u5727\u30fb\u9244\u904e\u5270\u30021980\u301c90\u5e74\u4ee3\u306e\u6b27\u5dde\u81ea\u8ee2\u8eca\u9078\u624b\u306e\u6b7b\u4ea1\u7fa4\u3068\u95a2\u9023\u304c\u7591\u308f\u308c\u305f\uff08\u305f\u3060\u3057\u76f4\u63a5\u7684\u56e0\u679c\u306e\u8a3c\u62e0\u306f\u9650\u5b9a\u7684\u3067\u3001EPO\u300c\u5927\u91cf\u7834\u58ca\u5175\u5668\u300d\u795e\u8a71\u306b\u306f\u6279\u5224\u7684\u691c\u8a0e\u3082\u3042\u308b\u2014L\u00f3pez, 2011\uff09\u3002rhEPO\u306f\u5b89\u9759\u6642P-selectin\u30fbE-selectin\u4e0a\u6607\uff08\u5185\u76ae\u30fb\u8840\u5c0f\u677f\u6d3b\u6027\u5316\uff09\u3092\u793a\u3059\uff08Heuberger\u7cfb\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">5. \u8a3a\u65ad\u30fb\u691c\u67fb<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">5.1 ASIH\u8a3a\u65ad\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u57fa\u672c\u30d1\u30cd\u30eb<\/strong>\uff1a\u7dcf\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u3001\u904a\u96e2\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u3001LH\u3001FSH\u3001SHBG\u3001\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u3001\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u3002<\/li>\n\n\n\n<li><strong>\u30d1\u30bf\u30fc\u30f3\u8a8d\u8b58<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u4f7f\u7528\u4e2d\uff1a\u8d85\u751f\u7406\u7684\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3 + \u6291\u5236\u3055\u308c\u305fLH\/FSH\uff08\u5916\u56e0\u6027\u6295\u4e0e\u3092\u793a\u5506\uff09\u3002<\/li>\n\n\n\n<li>\u96e2\u8131\u5f8cASIH\uff1a\u4f4e\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3 + \u4f4e\u301c\u4e0d\u9069\u5207\u6b63\u5e38LH\/FSH\uff08\u4f4e\u30b4\u30ca\u30c9\u30c8\u30ed\u30d4\u30f3\u6027\u6027\u817a\u6a5f\u80fd\u4f4e\u4e0b\uff09\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u7cbe\u6db2\u691c\u67fb<\/strong>\uff1a\u4e4f\u7cbe\u5b50\u75c7\u301c\u7121\u7cbe\u5b50\u75c7\u306e\u8a55\u4fa1\u3002\u56de\u5fa9\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306b\u53cd\u5fa9\u691c\u67fb\u3002<\/li>\n\n\n\n<li><strong>hCG\u8ca0\u8377\u8a66\u9a13<\/strong>\uff1a\u7cbe\u5de3\u30e9\u30a4\u30c7\u30a3\u30c3\u30d2\u7d30\u80de\u306e\u53cd\u5fdc\u6027\u8a55\u4fa1\u3002<\/li>\n\n\n\n<li><strong>\u6ce8\u610f\uff08\u691c\u67fb\u89e3\u91c8\u306e\u843d\u3068\u3057\u7a74\uff09<\/strong>\uff1a\u514d\u75ab\u6e2c\u5b9a\u6cd5\u304cAAS\u4ee3\u8b1d\u7269\u3068\u4ea4\u5dee\u53cd\u5fdc\u3057\u3001\u6e2c\u5b9a\u30db\u30eb\u30e2\u30f3\u6fc3\u5ea6\u3092\u507d\u6027\u306b\u4e0a\u6607\u3055\u305b\u300c\u56de\u5fa9\u300d\u3092\u904e\u5927\u8a55\u4fa1\u3057\u3046\u308b\uff08Bandura et al., Andrology 2025\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">5.2 \u81d3\u5668\u8a55\u4fa1<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\uff1a\u5fc3\u30a8\u30b3\u30fc\uff08LVEF\u30fb\u62e1\u5f35\u80fd\u30fbLVH\uff09\u3001\u8102\u8cea\u30d1\u30cd\u30eb\u3001\u8840\u5727\u3001\u5fc5\u8981\u306b\u5fdc\u3058CCTA\/\u51a0\u52d5\u8108\u77f3\u7070\u5316\u30b9\u30b3\u30a2\u3002<\/li>\n\n\n\n<li>\u809d\uff1aAST\/ALT\/\u30d3\u30ea\u30eb\u30d3\u30f3\/ALP\u3001\uff0817\u03b1-\u30a2\u30eb\u30ad\u30eb\u5316\u5264\u4f7f\u7528\u6642\uff09\u753b\u50cf\u3002CK\u4e0a\u6607\u306f\u904b\u52d5\u7531\u6765\u3068\u306e\u9451\u5225\uff08AST\/ALT\u6bd4\u3001GGT\uff09\u3002<\/li>\n\n\n\n<li>\u814e\uff1a\u5c3f\u86cb\u767d\u3001eGFR\u3001\u968f\u6642\u5c3f\u86cb\u767d\/Cr\u6bd4\u3002<\/li>\n\n\n\n<li>\u8840\u6db2\uff1a\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u30fb\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">6. \u96e2\u8131\u5f8c\u30fb\u56de\u5fa9\u671f\u306e\u81e8\u5e8a\u7ba1\u7406\uff08\u91cd\u70b9\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">6.1 HPG\u8ef8\u56de\u5fa9\u306e\u30bf\u30a4\u30e0\u30b3\u30fc\u30b9\u3068\u4e88\u6e2c\u56e0\u5b50<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30bf\u30a4\u30e0\u30b3\u30fc\u30b9\uff1a\u5185\u5206\u6ccc\u6307\u6a19\u306f\u6982\u306d3\u301c10\u304b\u6708\u3001\u7cbe\u5b50\u5f62\u6210\u306f10\u301c14\u304b\u6708\u301c\u6700\u592724\u301c30\u304b\u6708\u3002<\/li>\n\n\n\n<li><strong>\u56de\u5fa9\u4e0d\u826f\u306e\u4e88\u6e2c\u56e0\u5b50<\/strong>\uff1a\u4f7f\u7528\u671f\u9593\u304c\u9577\u3044\u3001\u591a\u5264\u4f75\u7528\u3001\u9ad8\u7528\u91cf\u3001\u9ad8\u5e74\u9f62\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4f4e\u5024\uff08Grant et al., Eur J Endocrinol 2023\u2014\u85ac\u5264\u6570\u304c\u5c11\u306a\u304f\u4f7f\u7528&lt;3\u304b\u6708\u3067\u56de\u5fa9\u826f\u597d\uff09\u3002\u82e5\u5e74\u8005\u306f\u300c\u5f3e\u529b\u7684\u306a\u8ef8\u300d\u3067\u3088\u308a\u901f\u304f\u56de\u5fa9\u3002<\/li>\n\n\n\n<li>\u5b8c\u5168\u306b\u56de\u5fa9\u3057\u306a\u3044\u75c7\u4f8b\u304c\u4e00\u5b9a\u5272\u5408\u5b58\u5728\uff08Vilar Neto\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u8ee2\u5e30\u65e2\u77e5\u4f8b\u306e\u3046\u3061\u5b8c\u5168\u53ef\u9006\u306f\u3054\u304f\u5c11\u6570\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.2 \u598a\u5b55\u6027\u56de\u5fa9\u30fb\u300cPCT\u300d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u9650\u754c\uff08\u6700\u91cd\u8981\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u30c6\u30fc\u30d6\u30eb\uff1aHPG\u8ef8\/\u7cbe\u5b50\u5f62\u6210\u56de\u5fa9\u306e\u85ac\u7406\u5b66\u7684\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u4ecb\u5165<\/th><th>\u4e3b\u8981\u7814\u7a76<\/th><th>\u30c7\u30b6\u30a4\u30f3<\/th><th>\u4e3b\u8981\u30c7\u30fc\u30bf<\/th><\/tr><\/thead><tbody><tr><td>hCG\uff08\u7cbe\u5de3\u5185\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u7dad\u6301\uff09<\/td><td>Coviello et al., JCEM 2005;90:2595-2602<\/td><td>RCT\uff08n=29\uff09<\/td><td>\u5916\u56e0\u6027T\u6295\u4e0e\u3067\u7cbe\u5de3\u5185T 94%\u6291\u5236\uff081234\u219272 nmol\/L\uff09\u3002hCG\u7528\u91cf\u4f9d\u5b58\u7684\u306bITT\u56de\u5fa9\uff08125IU\u3067\u57fa\u7dda-25%\u3001250IU\u3067-7%\u3001500IU\u9694\u65e5\u3067\u57fa\u7dda+26%\uff09<\/td><\/tr><tr><td>hCG\uff08\u7cbe\u5b50\u5f62\u6210\u90e8\u5206\u56de\u5fa9\uff09<\/td><td>Matsumoto &amp; Bremner 1985<\/td><td>\u5b9f\u9a13<\/td><td>\u9ad8\u7528\u91cfhCG\u3067\u7cbe\u5b50\u657020\u301c40 million\/mL\u3078\u90e8\u5206\u56de\u5fa9\u3002FSH\u8ffd\u52a0\u3067\u91cf\u7684\u306b\u6b63\u5e38\u5316<\/td><\/tr><tr><td>SERM\uff08\u30af\u30ed\u30df\u30d5\u30a7\u30f3\/\u30a8\u30f3\u30af\u30ed\u30df\u30d5\u30a7\u30f3\uff09<\/td><td>\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9, Arch Endocrinol Metab 2025\uff0810 RCT, 819\u4f8b\uff09<\/td><td>\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9<\/td><td>\u7dcf\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3+273.76 ng\/dL\uff0895% CI 191.87\u2013355.66\uff09\u3001LH+4.66 IU\/L\u3001FSH+4.59 IU\/L\uff08\u5bfe\u30d7\u30e9\u30bb\u30dc\uff09\u3002\u7570\u8cea\u6027I\u00b2=89%<\/td><\/tr><tr><td>\u30a8\u30f3\u30af\u30ed\u30df\u30d5\u30a7\u30f3<\/td><td>Kaminetsky et al., J Sex Med 2013;10:1628-1635 \/ Wiehle 2014<\/td><td>RCT\uff08n=124\uff09<\/td><td>T\u7d04+146%\u3001LH+177%\u3001FSH+170%\u3002\u5c40\u6240T\u3068\u7570\u306a\u308a\u7cbe\u5b50\u6570\u3092\u4fdd\u6301\/\u5897\u52a0\u3002\u305f\u3060\u3057\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u4e4f\u7cbe\u5b50\u75c7\u4f8b\u3067\u306f\u6709\u610f\u6539\u5584\u306a\u3057<\/td><\/tr><tr><td>\u7537\u6027\u30db\u30eb\u30e2\u30f3\u907f\u598a\u5f8c\u306e\u7cbe\u5b50\u56de\u5fa9<\/td><td>Liu PY et al., Lancet 2006;367:1412-1420<\/td><td>30\u7814\u7a76\u306e\u30d7\u30fc\u30eb\u89e3\u6790<\/td><td>20 million\/mL\u3078\u306e\u56de\u5fa9\u78ba\u7387\uff1a6\u304b\u670867%\u300112\u304b\u670890%\u300116\u304b\u670896%\u300124\u304b\u6708100%\uff08\u30e2\u30c7\u30eb\u63a8\u5b9a\uff09<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u300cPCT\u300d\u3068\u3057\u3066\u5b9f\u8df5\u3055\u308c\u308b\u4f7f\u7528\u306e\u9650\u754c<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>HAARLEM study\uff1a<strong>PCT\u306e\u691c\u51fa\u53ef\u80fd\u306a\u52b9\u679c\u306a\u3057<\/strong>\u3002\u300c\u6297\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u85ac\u304c\u30a2\u30f3\u30c9\u30ed\u30b2\u30f3\u306e\u5f37\u529b\u306a\u6291\u5236\u306b\u5bfe\u6297\u3067\u304d\u308b\u3068\u306f\u8003\u3048\u306b\u304f\u304f\u3001hCG\u306f\u7cbe\u5de3\u5bb9\u7a4d\u30fb\u7cbe\u5b50\u5f62\u6210\u306b\u52b9\u679c\u3092\u793a\u3055\u306a\u304b\u3063\u305f\u300d\u3002<\/li>\n\n\n\n<li>Shankara-Narayana\uff08JCEM 2020\uff09\u3001Grant et al.\uff08Eur J Endocrinol 2023\uff09\uff1aPCT\u306e\u56de\u5fa9\u4e0a\u4e57\u305b\u52b9\u679c\u306f\u793a\u3055\u308c\u305a\u3002<\/li>\n\n\n\n<li>\u0130bi\u015f et al.\uff08BJU Int 2026\u3001\u975e\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\uff09\uff1aPCT\u304c\u65e9\u671f\u6b63\u5e38\u5316\u3092\u4fc3\u9032\u3001hCG+\u30af\u30ed\u30df\u30d5\u30a7\u30f3\u3067\u7cbe\u6db2\u30fb\u7cbe\u5de3\u5bb9\u7a4d\u306e\u56de\u5fa9\u304c\u512a\u308c\u308b\u3068\u5831\u544a\u3059\u308b\u304c\u3001<strong>RCT\u306e\u5fc5\u8981\u6027\u3092\u660e\u8a18<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u7dcf\u62ec\uff1aPCT\u306eRCT\u306f\u5b58\u5728\u305b\u305a\u3001\u6709\u52b9\u6027\u306f\u672a\u8a3c\u660e\u3002<\/strong> \u81ea\u7136\u56de\u5fa9\u3068\u533a\u5225\u3067\u304d\u306a\u3044\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u65e5\u672c\u3067\u306e\u4f4d\u7f6e\u3065\u3051<\/strong>\uff1ahCG\u30fb\u30af\u30ed\u30df\u30d5\u30a7\u30f3\u30fb\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u7b49\u3092\u3053\u306e\u76ee\u7684\u3067\u7528\u3044\u308b\u306e\u306f\u9069\u5fdc\u5916\u4f7f\u7528\u3002\u51e6\u65b9\u306b\u306f\u614e\u91cd\u306a\u9069\u5fdc\u5224\u65ad\u30fb\u8aac\u660e\u540c\u610f\u304c\u5fc5\u8981\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.3 \u96e2\u8131\u5f8c\u306e\u3046\u3064\u30fb\u81ea\u6bba\u5ff5\u616e\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e2d\u6b62\u5f8c\u306e\u4f4e\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u671f\u306b\u3046\u3064\u30fb\u81ea\u6bba\u30ea\u30b9\u30af\u3002PHQ-9\u7b49\u3067\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3057\u3001\u7cbe\u795e\u79d1\u9023\u643a\u3002ED\u306fPDE5\u963b\u5bb3\u85ac\u3067\u4e00\u6642\u7684\u306b\u7ba1\u7406\u3057\u3064\u3064\u5185\u56e0\u6027\u56de\u5fa9\u3092\u5f85\u3064\u3002libido\u4f4e\u4e0b\u306f\u7d041\/3\u3067\u5831\u544a\uff08Corona et al.\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.4 TRT\u79fb\u884c\u306e\u8b70\u8ad6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u56de\u5fa9\u56f0\u96e3\u4f8b\u3067TRT\u3078\u79fb\u884c\u3059\u308b\u9078\u629e\u80a2\u304c\u3042\u308b\u304c\u3001<strong>\u5916\u56e0\u6027\u6295\u4e0e\u306e\u6c38\u7d9a\u5316=\u4f9d\u5b58\u306e\u6c38\u7d9a\u5316\u30ea\u30b9\u30af<\/strong>\u3002\u5b89\u6613\u306a\u79fb\u884c\u306f\u907f\u3051\u3001\u56de\u5fa9\u53ef\u80fd\u6027\u3092\u5341\u5206\u8a55\u4fa1\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">7. \u9577\u671f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u9805\u76ee\uff1a\u8102\u8cea\u3001\u8840\u5727\u3001\u5fc3\u30a8\u30b3\u30fc\uff08\u6a5f\u80fd\u6b8b\u5b58\u8a55\u4fa1\uff09\u3001\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u3001\u809d\u814e\u6a5f\u80fd\u3001\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\/LH\/FSH\u3001\u7cbe\u6db2\u691c\u67fb\u3001\u7cbe\u795e\u75c7\u72b6\u3002<\/li>\n\n\n\n<li>\u63a8\u5968\u9593\u9694\uff1a\u96e2\u8131\u521d\u671f\u306f1\u301c3\u304b\u6708\u3054\u3068\u3001\u5b89\u5b9a\u5f8c\u306f6\u301c12\u304b\u6708\u3054\u3068\uff08\u500b\u5225\u5316\uff09\u3002<\/li>\n\n\n\n<li>\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u306f\u7981\u6b62\u5f8c\u3082\u6b8b\u5b58\u3057\u3046\u308b\uff08\u62e1\u5f35\u80fd\u30fb\u51a0\u52d5\u8108\u75c5\u5909\uff09\u3002\u9577\u671f\u306e\u7e26\u65ad\u7684\u8a55\u4fa1\u304c\u671b\u307e\u3057\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">8. \u65b9\u6cd5\u8ad6\u7684\u9650\u754c\uff08\u660e\u793a\u7684\u89e3\u8aac\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>RCT\u304c\u307b\u307c\u4e0d\u53ef\u80fd<\/strong>\uff1a\u502b\u7406\u4e0a\u3001\u8d85\u751f\u7406\u7684\u7528\u91cf\u30fb\u591a\u5264\u4f75\u7528\u3092\u524d\u5411\u304d\u306b\u6295\u4e0e\u3067\u304d\u306a\u3044\u3002Bhasin 1996\u306f\u4f8b\u5916\u7684\u306a\u7ba1\u7406\u4e0bRCT\uff08\u9031600mg\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u30a8\u30ca\u30f3\u30c6\u30fc\u30c810\u9031\uff09\u3060\u304c\u7528\u91cf\u30fb\u671f\u9593\u304c\u5e02\u4e2d\u5b9f\u614b\u3088\u308a\u4f4e\u3044\u3002<\/li>\n\n\n\n<li><strong>\u89b3\u5bdf\u7814\u7a76\u4e2d\u5fc3<\/strong>\uff1a\u81ea\u5df1\u7533\u544a\u30d0\u30a4\u30a2\u30b9\uff08\u7528\u91cf\u30fb\u85ac\u5264\u30fb\u7d14\u5ea6\u304c\u4e0d\u660e\uff09\u3001\u591a\u5264\u4f75\u7528\u306b\u3088\u308b\u4ea4\u7d61\u3001\u95c7\u5e02\u5834\u88fd\u54c1\u306e\u8868\u793a\u507d\u88c5\u30fb\u4e0d\u7d14\u7269\u3002<\/li>\n\n\n\n<li><strong>\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u30fb\u75c7\u4f8b\u5831\u544a\u306e\u9650\u754c<\/strong>\uff1a\u91cd\u75c7\u4f8b\u304c\u9078\u629e\u7684\u306b\u5831\u544a\u3055\u308c\u308b\u3002<\/li>\n\n\n\n<li><strong>\u4ea4\u7d61<\/strong>\uff1a\u9ad8\u86cb\u767d\u98df\u30fb\u30af\u30ec\u30a2\u30c1\u30f3\u30fb\u4ed6\u306e\u7269\u8cea\u4f7f\u7528\u30fb\u904b\u52d5\u305d\u306e\u3082\u306e\u306e\u5f71\u97ff\u3002<\/li>\n\n\n\n<li><strong>\u691c\u67fb\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8<\/strong>\uff1a\u514d\u75ab\u6e2c\u5b9a\u6cd5\u306eAAS\u4ee3\u8b1d\u7269\u4ea4\u5dee\u53cd\u5fdc\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">9. \u65e5\u672c\u306e\u6cd5\u898f\u5236\u30fb\u6587\u8108<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u533b\u85ac\u54c1\u533b\u7642\u6a5f\u5668\u7b49\u6cd5<\/strong>\uff1aAAS\u30fb\u591a\u304f\u306ePED\u306f\u51e6\u65b9\u7b8b\u533b\u85ac\u54c1\u3002\u56fd\u5185\u3067\u51e6\u65b9\u7b8b\u306a\u3057\u306e\u901a\u4fe1\u8ca9\u58f2\u306f\u4e0d\u53ef\u3002<strong>\u500b\u4eba\u8f38\u5165\u306f\u300c\u81ea\u5206\u81ea\u8eab\u3067\u306e\u4f7f\u7528\u300d\u306b\u9650\u308a\u53ef\u80fd<\/strong>\u3060\u304c\u3001\u539f\u5247\u5730\u65b9\u539a\u751f\u5c40\u3078\u306e\u8f38\u5165\u78ba\u8a8d\u304c\u5fc5\u8981\u3002\u4ed6\u4eba\u3078\u306e\u8b72\u6e21\u30fb\u8ca9\u58f2\u306f\u9055\u6cd5\u3002<\/li>\n\n\n\n<li><strong>\u554f\u984c\u70b9<\/strong>\uff1a\u507d\u9020\u54c1\u30fb\u4e0d\u826f\u54c1\u30fb\u8868\u793a\u507d\u88c5\u306e\u30ea\u30b9\u30af\u3001\u5065\u5eb7\u88ab\u5bb3\u6642\u306b\u533b\u85ac\u54c1\u526f\u4f5c\u7528\u88ab\u5bb3\u6551\u6e08\u5236\u5ea6\u306e\u5bfe\u8c61\u5916\u3002\u539a\u52b4\u7701\u306f\u30a4\u30f3\u30bf\u30fc\u30cd\u30c3\u30c8\u76e3\u8996\u3092\u5f37\u5316\u3057\u3001\u4fdd\u5065\u885b\u751f\u4e0a\u554f\u984c\u306e\u3042\u308b\u500b\u4eba\u8f38\u5165\u3092\u963b\u6b62\u3059\u308b\u4f53\u5236\u3092\u6574\u5099\u3002<\/li>\n\n\n\n<li><strong>\u9ebb\u85ac\u53ca\u3073\u5411\u7cbe\u795e\u85ac\u53d6\u7de0\u6cd5<\/strong>\uff1aAAS\u81ea\u4f53\u306f\u9ebb\u5411\u6cd5\u306e\u898f\u5236\u5bfe\u8c61\u3067\u306f\u306a\u3044\uff08\u899a\u9192\u5264\u30fb\u4e00\u90e8\u8208\u596e\u85ac\u306f\u5225\u9014\u898f\u5236\uff09\u3002\u7c73\u56fd\u306eControlled Substances Act\uff08AAS\u306fSchedule III\uff09\u3068\u306f\u7570\u306a\u308a\u3001\u65e5\u672c\u3067\u306fAAS\u3092\u4e00\u5f8b\u306b\u898f\u5236\u3059\u308b\u5c02\u7528\u6cd5\u306f\u306a\u304f\u3001\u85ac\u6a5f\u6cd5\u30fb\u95a2\u7a0e\u6cd5\u306e\u67a0\u7d44\u307f\u3067\u6271\u308f\u308c\u308b\u3002<\/li>\n\n\n\n<li><strong>\u533b\u5e2b\u6cd5\u30fb\u5fdc\u53ec\u7fa9\u52d9<\/strong>\uff1a\u4f7f\u7528\u8005\u304c\u53d7\u8a3a\u3057\u305f\u969b\u3001\u975e\u5be9\u5224\u7684\u306b\u5bfe\u5fdc\u3059\u308b\u5fc5\u8981\u3002\u9069\u5fdc\u5916\u51e6\u65b9\u306e\u5224\u65ad\u306f\u614e\u91cd\u306b\u3002\u65e5\u672c\u3067\u3082\u51e6\u65b9\u7b8b\u306a\u3057\u306b\u30cd\u30c3\u30c8\u3067\u533b\u85ac\u54c1\u304c\u5165\u624b\u3067\u304d\u308b\u73fe\u5b9f\u304c\u3042\u308b\u4ee5\u4e0a\u3001\u60a3\u8005\u304c\u500b\u4eba\u8f38\u5165\u3067\u5165\u624b\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092\u5e38\u306b\u5ff5\u982d\u306b\u7f6e\u304f\u3079\u304d\uff08\u65e5\u672c\u81e8\u5e8a\u85ac\u7406\u5b66\u4f1a\u95a2\u9023\u8ad6\u8003\uff09\u3002<\/li>\n\n\n\n<li><strong>JADA\/WADA<\/strong>\uff1aWADA\u7981\u6b62\u88682025\u3067AAS\u306fS1.1\u3001SARMs\u30fb\u30af\u30ec\u30f3\u30d6\u30c6\u30ed\u30fc\u30eb\u306fS1.2\uff08\u300c\u305d\u306e\u4ed6\u306e\u540c\u5316\u85ac\u300d\uff09\u3001EPO\/HIF\u5b89\u5b9a\u5316\u85ac\u306fS2\u3001\u5229\u5c3f\u85ac\u30fb\u96a0\u853d\u85ac\u306fS5\u3001\u8208\u596e\u85ac\u306fS6\u7b49\u306b\u5206\u985e\u3002\u8840\u6db2\u30c9\u30fc\u30d4\u30f3\u30b0\u306fM1\u3002\u7af6\u6280\u8005\u306f**TUE\uff08\u6cbb\u7642\u4f7f\u7528\u7279\u4f8b\uff09**\u7533\u8acb\u3067\u6b63\u5f53\u306a\u533b\u7642\u4f7f\u7528\u304c\u8a31\u5bb9\u3055\u308c\u3046\u308b\uff084\u6761\u4ef6\uff1a\u8a3a\u65ad\u3055\u308c\u305f\u75be\u60a3\u3067\u6cbb\u7642\u304c\u5fc5\u8981\u3001\u5065\u5eb7\u56de\u5fa9\u3092\u8d85\u3048\u308b\u5229\u76ca\u304c\u306a\u3044\u3001\u5408\u7406\u7684\u306a\u4ee3\u66ff\u85ac\u304c\u306a\u3044\u3001\u904e\u53bb\u306e\u4e0d\u6b63\u4f7f\u7528\u306b\u8d77\u56e0\u3057\u306a\u3044\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">\u7b2cII\u90e8\uff1a\u60a3\u8005\u30fb\u30a2\u30b9\u30ea\u30fc\u30c8\u5411\u3051\u5e73\u6613\u306a\u8981\u7d04<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">\u3053\u308c\u3089\u306e\u85ac\u306f\u4f55\u3092\u3059\u308b\u306e\u304b\uff08\u565b\u307f\u7815\u3044\u305f\u8aac\u660e\uff09<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u8089\u5897\u5f37\u85ac\uff08\u30b9\u30c6\u30ed\u30a4\u30c9\u306a\u3069\uff09\u306f\u3001\u4f53\u304c\u672c\u6765\u3064\u304f\u308b\u30db\u30eb\u30e2\u30f3\u3092\u306f\u308b\u304b\u306b\u8d85\u3048\u308b\u91cf\uff08\u81ea\u5206\u3067\u3064\u304f\u308b\u91cf\u306e5\u301c100\u500d\uff09\u3092\u5916\u304b\u3089\u5165\u308c\u307e\u3059\u3002\u77ed\u671f\u7684\u306b\u7b4b\u8089\u306f\u5897\u3048\u307e\u3059\u304c\u3001\u4f53\u306f\u300c\u3082\u3046\u81ea\u5206\u3067\u3064\u304f\u3089\u306a\u304f\u3066\u3044\u3044\u300d\u3068\u5224\u65ad\u3057\u3066\u30db\u30eb\u30e2\u30f3\u5de5\u5834\u3092\u6b62\u3081\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u3053\u308c\u304c\u3001\u3084\u3081\u305f\u5f8c\u306b\u4f53\u8abf\u3092\u5d29\u3059\u5927\u304d\u306a\u539f\u56e0\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7279\u306b\u77e5\u3063\u3066\u307b\u3057\u30445\u3064\u306e\u30ea\u30b9\u30af<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5fc3\u81d3\u30fb\u8840\u7ba1<\/strong>\uff1a\u82e5\u304f\u3066\u3082\u5fc3\u81d3\u306e\u58c1\u304c\u539a\u304f\u306a\u308a\u3001\u52d5\u8108\u304c\u8a70\u307e\u308a\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u300220\u301c30\u4ee3\u3067\u3082\u5fc3\u7b4b\u6897\u585e\u306e\u30ea\u30b9\u30af\u3002\u7814\u7a76\u3067\u306f\u4f7f\u7528\u8005\u306e\u5fc3\u81d3\u306e\u30dd\u30f3\u30d7\u6a5f\u80fd\u304c\u660e\u3089\u304b\u306b\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u30db\u30eb\u30e2\u30f3\u3068\u751f\u6b96<\/strong>\uff1a\u7cbe\u5de3\u304c\u7e2e\u307f\u3001\u7cbe\u5b50\u304c\u6e1b\u308a\u3001\u4e0d\u598a\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u56de\u5fa9\u306b\u306f\u6570\u304b\u6708\u301c\u6570\u5e74\u304b\u304b\u308a\u3001<strong>\u5b8c\u5168\u306b\u306f\u623b\u3089\u306a\u3044\u4eba\u3082\u3044\u307e\u3059<\/strong>\u3002\u5973\u6027\u3067\u306f\u58f0\u306e\u4f4e\u97f3\u5316\u30fb\u4f53\u6bdb\u30fb\u9670\u6838\u80a5\u5927\u306a\u3069<strong>\u5143\u306b\u623b\u3089\u306a\u3044\u5909\u5316<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u809d\u81d3<\/strong>\uff08\u7279\u306b\u98f2\u307f\u85ac\u30bf\u30a4\u30d7\uff09\uff1a\u9ec4\u75b8\u3001\u307e\u308c\u306b\u809d\u816b\u760d\u3002<\/li>\n\n\n\n<li><strong>\u814e\u81d3<\/strong>\uff1a\u5c3f\u306b\u30bf\u30f3\u30d1\u30af\u304c\u6f0f\u308c\u3001\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5fc3\u306e\u5909\u5316<\/strong>\uff1a\u4f7f\u7528\u4e2d\u306e\u653b\u6483\u6027\u30fb\u6c17\u5206\u306e\u6ce2\u3001<strong>\u3084\u3081\u305f\u5f8c\u306e\u3046\u3064\u30fb\u81ea\u6bba\u306e\u5371\u967a<\/strong>\u3002<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">\u6e1b\u91cf\u30fb\u30b3\u30f3\u30c6\u30b9\u30c8\u524d\u306e\u5371\u967a\uff08\u898b\u843d\u3068\u3055\u308c\u304c\u3061\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5229\u5c3f\u85ac\u3067\u6c34\u3092\u629c\u304f<\/strong>\u884c\u70ba\u306f\u3001\u96fb\u89e3\u8cea\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u5d29\u3057\u3066<strong>\u7a81\u7136\u306e\u4e0d\u6574\u8108\u3067\u6b7b\u4ea1<\/strong>\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5b9f\u969b\u306b\u7af6\u6280\u8005\u306e\u6b7b\u4ea1\u4f8b\uff0833\u6b73\u300120\u6b73\u306a\u3069\uff09\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u30af\u30ec\u30f3\u30d6\u30c6\u30ed\u30fc\u30eb<\/strong>\u306f\u52d5\u60b8\u30fb\u624b\u306e\u9707\u3048\u30fb\u30ab\u30ea\u30a6\u30e0\u4f4e\u4e0b\u3092\u8d77\u3053\u3057\u3001\u5fc3\u505c\u6b62\u306e\u5831\u544a\u3082\u3002<\/li>\n\n\n\n<li>**DNP\uff08\u8102\u80aa\u71c3\u713c\u85ac\uff09**\u306f\u4f53\u6e29\u304c\u4e0a\u304c\u308a\u3059\u304e\u3066\u6b7b\u4ea1\u3059\u308b\u975e\u5e38\u306b\u5371\u967a\u306a\u85ac\u3067\u3059\uff08\u6442\u53d6\u5f8c\u5e73\u574714\u6642\u9593\u3067\u6b7b\u4ea1\u4f8b\uff09\u3002<\/li>\n\n\n\n<li><strong>\u30a4\u30f3\u30b9\u30ea\u30f3<\/strong>\u306f\u4f4e\u8840\u7cd6\u3067\u660f\u7761\u30fb\u6b7b\u4ea1\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u60f3\u5b9aQ&amp;A<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Q: \u3084\u3081\u308c\u3070\u5168\u90e8\u5143\u306b\u623b\u308a\u307e\u3059\u304b\uff1f<\/strong>\u3000A: \u591a\u304f\u306f\u6642\u9593\u3092\u304b\u3051\u3066\u623b\u308a\u307e\u3059\u304c\u3001\u58f0\u30fb\u9670\u6838\u306e\u5909\u5316\u3001\u5fc3\u81d3\u30fb\u8840\u7ba1\u306e\u4e00\u90e8\u3001\u6027\u30db\u30eb\u30e2\u30f3\u306e\u56de\u5fa9\u4e0d\u826f\u306a\u3069\u3001\u623b\u3089\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u65e9\u304f\u3084\u3081\u308b\u307b\u3069\u56de\u5fa9\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>Q: \u300cPCT\uff08\u30dd\u30b9\u30c8\u30b5\u30a4\u30af\u30eb\u30bb\u30e9\u30d4\u30fc\uff09\u300d\u3067\u56de\u5fa9\u3092\u65e9\u3081\u3089\u308c\u307e\u3059\u304b\uff1f<\/strong>\u3000A: \u304d\u3061\u3093\u3068\u3057\u305f\u81e8\u5e8a\u8a66\u9a13\uff08RCT\uff09\u304c\u306a\u304f\u3001\u52b9\u679c\u306f\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3080\u3057\u308d\u89b3\u5bdf\u7814\u7a76\u3067\u306f\u3001\u81ea\u7136\u56de\u5fa9\u3068\u5dee\u304c\u306a\u3044\u3068\u3044\u3046\u5831\u544a\u304c\u8907\u6570\u3042\u308a\u307e\u3059\u3002\u533b\u5e2b\u306e\u7ba1\u7406\u4e0b\u3067\u306e\u8a55\u4fa1\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>Q: \u30b5\u30d7\u30ea\u306a\u3089\u5b89\u5168\u3067\u3059\u304b\uff1f<\/strong>\u3000A: \u300c\u30b5\u30d7\u30ea\u300d\u8868\u793a\u3067\u3082\u4e2d\u8eab\u306bSARMs\u3084\u30b9\u30c6\u30ed\u30a4\u30c9\u304c\u6df7\u5165\u3057\u3066\u3044\u308b\u4f8b\u304c\u7e70\u308a\u8fd4\u3057\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u8868\u793a\u306f\u4fe1\u983c\u3067\u304d\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li><strong>Q: \u500b\u4eba\u8f38\u5165\u306f\u5927\u4e08\u592b\u3067\u3059\u304b\uff1f<\/strong>\u3000A: \u81ea\u5206\u3067\u4f7f\u3046\u5206\u306f\u6cd5\u7684\u306b\u53ef\u80fd\u3067\u3059\u304c\u3001\u507d\u9020\u54c1\u30fb\u4e0d\u826f\u54c1\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u3001\u5065\u5eb7\u88ab\u5bb3\u304c\u51fa\u3066\u3082\u56fd\u306e\u6551\u6e08\u5236\u5ea6\u306e\u5bfe\u8c61\u5916\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u3044\u3064\u53d7\u8a3a\u3059\u3079\u304d\u304b\uff08\u53d7\u8a3a\u306e\u76ee\u5b89\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80f8\u75db\u30fb\u52d5\u60b8\u30fb\u606f\u5207\u308c\u30fb\u5931\u795e<\/li>\n\n\n\n<li>\u76ae\u819a\u3084\u767d\u76ee\u304c\u9ec4\u8272\u3044\uff08\u9ec4\u75b8\uff09\u3001\u6fc3\u3044\u5c3f\u3001\u5f37\u3044\u304b\u3086\u307f<\/li>\n\n\n\n<li>\u5c3f\u306e\u6ce1\u7acb\u3061\u30fb\u3080\u304f\u307f<\/li>\n\n\n\n<li>\u5f37\u3044\u6291\u3046\u3064\u30fb\u6b7b\u306b\u305f\u3044\u6c17\u6301\u3061<\/li>\n\n\n\n<li>\u7cbe\u5de3\u306e\u7e2e\u5c0f\u30fb\u6027\u6b32\u4f4e\u4e0b\u30fb\u52c3\u8d77\u4e0d\u5168\u30fb\uff08\u6319\u5150\u5e0c\u671b\u3067\u306e\uff09\u4e0d\u598a<\/li>\n\n\n\n<li>\u5973\u6027\u3067\u306e\u58f0\u306e\u5909\u5316\u30fb\u591a\u6bdb\u30fb\u6708\u7d4c\u7570\u5e38\uff08<strong>\u65e9\u671f\u53d7\u8a3a\u3067\u4e0d\u53ef\u9006\u5316\u3092\u9632\u3052\u308b\u53ef\u80fd\u6027<\/strong>\uff09<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">\u5dfb\u672b\u8cc7\u6599<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">A. \u691c\u67fb\u9805\u76ee\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5185\u5206\u6ccc\uff1a\u7dcf\/\u904a\u96e2\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u3001LH\u3001FSH\u3001SHBG\u3001E2\u3001\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u3001\uff08\u5fc5\u8981\u6642\uff09hCG\u8ca0\u8377\u8a66\u9a13\u3001\u7cbe\u6db2\u691c\u67fb<\/li>\n\n\n\n<li>\u5fc3\u8840\u7ba1\uff1a\u8840\u5727\u3001\u8102\u8cea\uff08HDL\/LDL\/TG\/Lp(a)\uff09\u3001\u5fc3\u30a8\u30b3\u30fc\uff08LVEF\u30fb\u62e1\u5f35\u80fd\u30fbLVH\uff09\u3001\uff08\u9069\u5fdc\u3067\uff09CCTA\/CAC\u30b9\u30b3\u30a2\u3001\u5fc3\u96fb\u56f3<\/li>\n\n\n\n<li>\u809d\uff1aAST\u3001ALT\u3001ALP\u3001\u7dcf\/\u76f4\u63a5\u30d3\u30ea\u30eb\u30d3\u30f3\u3001GGT\u3001\uff08\u9069\u5fdc\u3067\uff09\u8179\u90e8\u753b\u50cf<\/li>\n\n\n\n<li>\u814e\uff1aeGFR\u3001\u8840\u6e05Cr\u3001\u5c3f\u86cb\u767d\u3001\u5c3f\u86cb\u767d\/Cr\u6bd4<\/li>\n\n\n\n<li>\u8840\u6db2\uff1aCBC\uff08Hct\/Hb\uff09<\/li>\n\n\n\n<li>\u611f\u67d3\u75c7\uff08\u6ce8\u5c04\u6b74\u3042\u308c\u3070\uff09\uff1aHBV\u3001HCV\u3001HIV<\/li>\n\n\n\n<li>\u7cbe\u795e\uff1aPHQ-9\u7b49\u3046\u3064\u30fb\u81ea\u6bba\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0<\/li>\n\n\n\n<li>\u4ee3\u8b1d\uff08GH\/\u30a4\u30f3\u30b9\u30ea\u30f3\u4f7f\u7528\u7591\u3044\uff09\uff1a\u7a7a\u8179\u6642\u8840\u7cd6\u3001HbA1c\u3001IGF-1\u3001\u96fb\u89e3\u8cea\uff08K\/Mg\/P\uff09<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">B. \u554f\u8a3a\u7968\u9805\u76ee\u6848<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4f7f\u7528\u85ac\u5264\u306e\u7a2e\u985e\uff08\u6ce8\u5c04\/\u7d4c\u53e3\/\u30da\u30d7\u30c1\u30c9\/\u30a4\u30f3\u30b9\u30ea\u30f3\/\u5229\u5c3f\u85ac\/\u8102\u80aa\u71c3\u713c\u85ac\/\u7532\u72b6\u817a\u85ac\u7b49\uff09\u3068\u81ea\u5df1\u7533\u544a\u306e\u91cf\u30fb\u671f\u9593<\/li>\n\n\n\n<li>\u4f7f\u7528\u30d1\u30bf\u30fc\u30f3\uff08cycle\/blast and cruise\/bridging\uff09\u3001\u6700\u7d42\u4f7f\u7528\u6642\u671f<\/li>\n\n\n\n<li>\u5165\u624b\u7d4c\u8def\uff08\u500b\u4eba\u8f38\u5165\/\u30b8\u30e0\/SNS\u7b49\uff09\u203b\u975e\u5be9\u5224\u7684\u306b<\/li>\n\n\n\n<li>\u4f75\u7528\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u30fb\u9ad8\u86cb\u767d\u98df\u30fb\u30af\u30ec\u30a2\u30c1\u30f3<\/li>\n\n\n\n<li>\u6ce8\u5c04\u624b\u6280\uff08\u5171\u7528\u306e\u6709\u7121\u3001\u90e8\u4f4d\u3001Synthol\u4f7f\u7528\uff09<\/li>\n\n\n\n<li>\u75c7\u72b6\uff1a\u80f8\u75db\u30fb\u52d5\u60b8\u30fb\u9ec4\u75b8\u30fb\u3080\u304f\u307f\u30fb\u6c17\u5206\u306e\u5909\u5316\u30fb\u6027\u6a5f\u80fd\u30fb\uff08\u5973\u6027\uff09\u58f0\/\u6708\u7d4c<\/li>\n\n\n\n<li>\u6319\u5150\u5e0c\u671b\u306e\u6709\u7121<\/li>\n\n\n\n<li>\u7cbe\u795e\u79d1\u65e2\u5f80\u30fb\u81ea\u6bba\u5ff5\u616e<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">C. \u4e3b\u8981\u53c2\u8003\u6587\u732e\uff08\u8457\u8005\u30fb\u96d1\u8a8c\u30fb\u5e74\uff09<\/h2>\n\n\n\n<ul 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NEJM 1996;335:1-7.\uff08\u8d85\u751f\u7406\u7684\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u3068\u7b4b\u91cf\uff1a\u7ba1\u7406\u4e0bRCT\uff09<\/li>\n\n\n\n<li>Baggish AL, et al. Circulation 2017;135:1991-2002.\uff08\u5fc3\u6bd2\u6027\uff1a\u30a8\u30b3\u30fc\u30fbCCTA\uff09<\/li>\n\n\n\n<li>Herlitz LC, et al. J Am Soc Nephrol 2010.\uff08AAS\u3068FSGS\u3001n=10\uff09<\/li>\n\n\n\n<li>Vilar Neto JO, et al. Andrologia 2021;53:e14062.\uff08ASIH\u53ef\u9006\u6027\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff09<\/li>\n\n\n\n<li>Smit DL, et al. Hum Reprod 2021;36:880-890.\uff08HAARLEM study\uff09<\/li>\n\n\n\n<li>Shankara-Narayana N, et al. JCEM 2020;105:1827-1839.\uff08\u56de\u5fa9\u30b3\u30db\u30fc\u30c8\uff09<\/li>\n\n\n\n<li>Coviello AD, et al. JCEM 2005;90:2595-2602.\uff08hCG\u3068\u7cbe\u5de3\u5185T\uff09<\/li>\n\n\n\n<li>Liu PY, et al. 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Br J Pharmacol 2008.\uff08GH\/IGF-1\/\u30a4\u30f3\u30b9\u30ea\u30f3\uff09<\/li>\n\n\n\n<li>Grant B, et al. Eur J Endocrinol 2023;189:601-610.\uff08\u56de\u5fa9\u4e88\u6e2c\u56e0\u5b50\uff09<\/li>\n\n\n\n<li>Hoffman RJ, et al. J Toxicol Clin Toxicol 2001;39:339-344.\uff08\u30af\u30ec\u30f3\u30d6\u30c6\u30ed\u30fc\u30eb\u4e2d\u6bd2\uff09<\/li>\n\n\n\n<li>Kaminetsky J, et al. J Sex Med 2013;10:1628-1635.\uff08\u30a8\u30f3\u30af\u30ed\u30df\u30d5\u30a7\u30f3\uff09<\/li>\n\n\n\n<li>Hermetet C, et al. Front Public Health 2024.\uff08DNP\u81f4\u6b7b\u4f8b\uff09<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">D. \u5404\u7ae0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u30ae\u30e3\u30c3\u30d7\uff08\u6559\u79d1\u66f8\u5316\u306b\u5411\u3051\u305f\u8ffd\u52a0\u8abf\u67fb\u8ad6\u70b9\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u65e5\u672c\u56fd\u5185\u306e\u4f7f\u7528\u7387\u30fb\u6d41\u901a\u5b9f\u614b\u306e\u5168\u56fd\u8abf\u67fb\uff08\u73fe\u72b6\u30c7\u30fc\u30bf\u4e4f\u3057\u3044\uff09<\/li>\n\n\n\n<li>\u7981\u6b62\u5f8c\u306e\u5fc3\u8840\u7ba1\u53ef\u9006\u6027\u306e\u7e26\u65ad\u7814\u7a76<\/li>\n\n\n\n<li>SARMs\u809d\u6bd2\u6027\u306e\u983b\u5ea6\u30fb\u7528\u91cf\u6bd2\u6027\u95a2\u4fc2<\/li>\n\n\n\n<li>PCT\u306eRCT\uff08\u73fe\u6642\u70b9\u3067\u7686\u7121\uff09<\/li>\n\n\n\n<li>\u5973\u6027\u4f7f\u7528\u8005\u30fb\u82e5\u5e74\u8005\u306e\u30c7\u30fc\u30bf\u4e0d\u8db3<\/li>\n\n\n\n<li>\u30a4\u30f3\u30b9\u30ea\u30f3\u30fbDNP\u306e\u6cd5\u533b\u5b66\u7684\u691c\u51fa\u6cd5\u306e\u6a19\u6e96\u5316<\/li>\n\n\n\n<li>\u9577\u671f\u30d5\u30a9\u30ed\u30fc\u9593\u9694\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u6a19\u6e96\u5316<\/li>\n\n\n\n<li>\u65e5\u672c\u306eTUE\u904b\u7528\u5b9f\u52d9\u30fb\u9069\u5fdc\u5916\u51e6\u65b9\u306e\u6cd5\u7684\u4f4d\u7f6e\u3065\u3051\u306e\u660e\u78ba\u5316<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">Recommendations\uff08\u63a8\u5968\uff1a\u6bb5\u968e\u7684\u30fb\u5177\u4f53\u7684\u30a2\u30af\u30b7\u30e7\u30f3\uff09<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7b2c1\u6bb5\u968e\uff08\u521d\u8a3a\u30fb\u95a2\u4fc2\u69cb\u7bc9\uff09<\/strong>\uff1a\u975e\u5be9\u5224\u7684\u306b\u554f\u8a3a\u7968\u3067\u4f7f\u7528\u5b9f\u614b\u3092\u628a\u63e1\u3002\u57fa\u672c\u30d1\u30cd\u30eb\uff08\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u3001LH\u3001FSH\u3001\u8102\u8cea\u3001\u809d\u814e\u3001CBC\u3001PHQ-9\uff09\u3092\u5b9f\u65bd\u3002\u6025\u6027\u306e\u5371\u967a\u5fb4\u5019\uff08\u80f8\u75db\u3001\u9ec4\u75b8\u3001\u91cd\u5ea6\u3046\u3064\u3001DNP\/\u30a4\u30f3\u30b9\u30ea\u30f3\/\u5229\u5c3f\u85ac\u4f7f\u7528\u3001\u983b\u8108+\u4f4eK\uff09\u304c\u3042\u308c\u3070\u5373\u6642\u5bfe\u5fdc\u30fb\u6551\u6025\/\u5c02\u9580\u79d1\u7d39\u4ecb\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7b2c2\u6bb5\u968e\uff08\u30ea\u30b9\u30af\u5c64\u5225\u5316\uff09<\/strong>\uff1a\u5fc3\u30a8\u30b3\u30fc\u30fb\u8102\u8cea\u3067\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u8a55\u4fa1\u3002ASIH\u30d1\u30bf\u30fc\u30f3\uff08\u4f4eT+\u4f4e\/\u4e0d\u9069\u5207\u6b63\u5e38LH\/FSH\uff09\u3092\u78ba\u8a8d\u3002\u6319\u5150\u5e0c\u671b\u304c\u3042\u308c\u3070\u7cbe\u6db2\u691c\u67fb\u3002\u5973\u6027\u306f\u7537\u6027\u5316\u5fb4\u5019\u3092\u65e9\u671f\u8a55\u4fa1\uff08\u4e0d\u53ef\u9006\u5316\u524d\u306e\u4e2d\u6b62\u304c\u9375\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7b2c3\u6bb5\u968e\uff08\u7ba1\u7406\uff09<\/strong>\uff1a\u4f7f\u7528\u4e2d\u6b62\u652f\u63f4\u3068harm reduction\u3002\u96e2\u8131\u671f\u3046\u3064\u30fb\u81ea\u6bba\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u7cbe\u795e\u79d1\u9023\u643a\u3002\u56de\u5fa9\u4e0d\u826f\u4f8b\u306f\u5185\u5206\u6ccc\/\u751f\u6b96\u533b\u7642\u3078\u3002PCT\u76ee\u7684\u306e\u9069\u5fdc\u5916\u51e6\u65b9\u306f\u6709\u52b9\u6027\u672a\u8a3c\u660e\u3067\u3042\u308b\u3053\u3068\u3092\u8aac\u660e\u3057\u614e\u91cd\u306b\u5224\u65ad\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u95be\u5024\u30fb\u5224\u65ad\u5909\u66f4\u306e\u6307\u6a19<\/strong>\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>LVEF\u4f4e\u4e0b\u30fb\u62e1\u5f35\u80fd\u969c\u5bb3\u2192\u5faa\u74b0\u5668\u7d39\u4ecb\u3002<\/li>\n\n\n\n<li>\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3\u4e0a\u6607\u30fb\u9ec4\u75b8\u2192\u809d\u81d3\u5c02\u9580\u533b\u3002<\/li>\n\n\n\n<li>\u5c3f\u86cb\u767d\/Cr\u4e0a\u6607\u30fb\u30cd\u30d5\u30ed\u30fc\u30bc\u57df\u86cb\u767d\u5c3f\u2192\u814e\u81d3\u5185\u79d1\u3002<\/li>\n\n\n\n<li>12\u301c24\u304b\u6708\u7d4c\u904e\u3057\u3066\u3082HPG\u8ef8\u672a\u56de\u5fa9\u2192\u5185\u5206\u6ccc\u5c02\u9580\u8a55\u4fa1\u30fbTRT\u691c\u8a0e\uff08\u4f9d\u5b58\u6c38\u7d9a\u5316\u30ea\u30b9\u30af\u3092\u8aac\u660e\uff09\u3002<\/li>\n\n\n\n<li>\u81ea\u6bba\u5ff5\u616e\u2192\u5373\u6642\u7cbe\u795e\u79d1\u3002<\/li>\n\n\n\n<li>Hct\u8457\u660e\u9ad8\u5024\u2192\u7009\u8840\u30fb\u4e2d\u6b62\u6307\u5c0e\u30fb\u8840\u6813\u4e88\u9632\u8a55\u4fa1\u3002<\/li>\n<\/ul>\n\n\n\n<h1 class=\"wp-block-heading\">Caveats\uff08\u7559\u610f\u70b9\uff09<\/h1>\n\n\n\n<ul class=\"wp-block-list\">\n<li>AAS\u7814\u7a76\u306fRCT\u304c\u307b\u307c\u4e0d\u53ef\u80fd\u3067\u89b3\u5bdf\u7814\u7a76\u4e2d\u5fc3\u3002\u81ea\u5df1\u7533\u544a\u30d0\u30a4\u30a2\u30b9\u30fb\u591a\u5264\u4f75\u7528\u4ea4\u7d61\u30fb\u95c7\u5e02\u5834\u88fd\u54c1\u306e\u8868\u793a\u507d\u88c5\u30fb\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u304c\u5927\u304d\u3044\u3002\u7528\u91cf\u30fb\u7d14\u5ea6\u306f\u57fa\u672c\u7684\u306b\u4e0d\u660e\u3002<\/li>\n\n\n\n<li>\u514d\u75ab\u6e2c\u5b9a\u6cd5\u304cAAS\u4ee3\u8b1d\u7269\u3068\u4ea4\u5dee\u53cd\u5fdc\u3057\u3001\u30db\u30eb\u30e2\u30f3\u6e2c\u5b9a\u5024\u3092\u507d\u6027\u4e0a\u6607\u3055\u305b\u300c\u56de\u5fa9\u300d\u3092\u904e\u5927\u8a55\u4fa1\u3057\u3046\u308b\u3002<\/li>\n\n\n\n<li>\u6b7b\u4ea1\u7387\u30fb\u91cd\u75c7\u4f8b\u30c7\u30fc\u30bf\u306f\u5256\u691c\u30fb\u4e2d\u6bd2\u4f8b\u306b\u504f\u308a\u3001\u4e00\u822c\u4f7f\u7528\u8005\u3078\u306e\u5916\u633f\u306b\u6ce8\u610f\u3002SMR 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