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The lactulose hydrogen breath test (LHBT) is often utilized to diagnose SIBO

In a typical ECG graph, time is shown on the x-axis and the electrical activity of the heart in millivolts (mV) is presented on the y-axis

Therefore, before initiation of TRT, it is important to consider the possible presence of risk factors of persistent HH and the time since normoprolactinemia was achieved, usually starting after 3-6 months since then (232), thus treatment should be started carefully, preferably with short-acting preparations (gel applicants or injectable) (111)