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It is unlikely to reach the cytosolic site where 5-alpha reductase converts testosterone to DHT, and it does not bind that enzyme through any documented mechanism

Let's unpack the science

There are 3 types of underlying disease, depending on the clinical context in which it occurs: type A presents in the context of acute liver failure, type B in the context of porto-systemic shunting with no intrinsic liver disease, and type C in the context of cirrhosis with portal hypertension

However, evidence in humans is not entirely consistent

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