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Abstract in brief
The study found that in men aged 40-79, lower levels of testosterone (T) are associated with a higher risk of developing metabolic syndrome (MetS), even after accounting for factors like SHBG, BMI, and insulin resistance.
Estradiol (E2) levels were not directly linked to MetS development, but a lower E2 to T ratio (E2T) was associated with a reduced risk of MetS.
Overall, low T levels independently increase the risk of MetS in men, while E2’s role is less clear, but a higher E2T ratio might offer some protective effect.
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