“It’s a different mechanism. Ideally we’d like to use an androgen synthesis inhibitor. These stop the production of testosterone, but those drug... 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. As I sat down, Nancyentered with a cup of coffee for me. I was feeling a little distractedbecause of the lingerie I wore, worried that someone would notice. Nancystood in front of my desk after setting my coffee down. I looked up and sawher watching me expectantly."Is everything okay Nancy?" I asked.She smiled. "I received a call from Mandy this morning," she advised."Really?" I answered, surprise in my voice. Why would Mandy call Nancy?Then it hit me. "Oh! Right! I guess I have an. More

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