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Other significant adverse effects of testosterone supplementation include acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation; increased hematocrit , which can require venipuncture in order to treat; and, exacerbation of sleep apnea .  Adverse effects may also include minor side-effects such as acne and oily skin, as well as, significant hair loss and/or thinning of the hair, which may be prevented with 5-alpha reductase inhibitors ordinarily used for the treatment of benign prostatic hyperplasia , such as finasteride .  Exogenous testosterone may also cause suppression of spermatogenesis , leading to, in some cases, infertility.  It is recommended that physicians screen for prostate cancer with a digital rectal exam and prostate-specific antigen (PSA) level before starting therapy, and monitor PSA and hematocrit levels closely during therapy. 
Testosterone Propionate Many consider propionate to be the mildest testosterone ester, and the preferred form for the dieting/cutting phases of training. Some will go so far as to say that propionate will harden the physique, while giving the user less water and fat retention than one typically expects to see with a testosterone.
During a typical cycle one will see action that is consistent with a testosterone. Users sensitive to gynecomastia and water retention may therefore need to add an anti-estrogen like Arimidex, Femara or Aromasin. Those particularly troubled by gynecomastia may find that a combination of Nolvadex and Proviron works especially well at preventing/halting this occurrence.