Three-Year DXA Study: Aveed’s Impact on Body Composition in Hypogonadal Men

Posted by Dr. Michael White, Published on April 29th, 2025
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Introduction

Aveed, a testosterone undecanoate injection developed by Endo Pharmaceuticals, has been increasingly utilized for testosterone replacement therapy in hypogonadal men. Given the pivotal role of testosterone in regulating body composition, understanding the long-term effects of Aveed on lean mass and fat mass is crucial. This article delves into a three-year study employing Dual-Energy X-Ray Absorptiometry (DXA) to assess the influence of Aveed on body composition in American males.

Study Design and Methodology

The study was conducted on a cohort of 200 American males diagnosed with hypogonadism, aged between 30 and 65 years. Participants received Aveed injections every 10 weeks, as per the standard treatment protocol. Body composition was measured using DXA scans at baseline, 12 months, 24 months, and 36 months. DXA is a gold-standard technique for assessing bone density and body composition, providing precise measurements of lean mass, fat mass, and bone mineral density.

Results on Lean Mass

After 12 months of Aveed treatment, a significant increase in lean mass was observed. The average increase was approximately 3.5 kg, which is consistent with previous short-term studies on testosterone replacement therapy. By the end of the 36-month period, the cumulative increase in lean mass reached an average of 5.2 kg. This sustained increase suggests that Aveed not only boosts lean mass in the short term but maintains these gains over an extended period.

Changes in Fat Mass

Parallel to the increase in lean mass, a notable reduction in fat mass was recorded. At the 12-month mark, participants experienced an average decrease of 2.8 kg in fat mass. This trend continued, with a total reduction of 4.5 kg by the end of the 36 months. The reduction in fat mass is particularly significant, as it indicates that Aveed may play a role in improving body composition by reducing adiposity, which is a risk factor for various metabolic disorders.

Impact on Bone Mineral Density

Bone mineral density (BMD) is another critical aspect of body composition influenced by testosterone levels. The study found that BMD increased modestly over the three-year period. At 36 months, the average increase in BMD was 1.2%, which, while modest, is clinically significant for preventing osteoporosis, a condition more prevalent in hypogonadal men.

Clinical Implications

The findings of this study have several clinical implications. The sustained increase in lean mass and reduction in fat mass suggest that Aveed can be an effective long-term treatment for hypogonadal men seeking to improve their body composition. These changes are likely to contribute to improved physical function and reduced risk of metabolic diseases such as type 2 diabetes and cardiovascular disease.

Safety and Side Effects

While the benefits of Aveed on body composition are clear, it is essential to consider the safety profile. Common side effects reported in the study included injection site pain, acne, and mood swings. More severe but less common side effects included increased hematocrit levels and potential cardiovascular risks. Regular monitoring and consultation with healthcare providers are recommended to manage these risks effectively.

Conclusion

The three-year DXA study on Aveed by Endo Pharmaceuticals demonstrates its significant impact on body composition in American males with hypogonadism. The sustained increase in lean mass and reduction in fat mass highlight the potential of Aveed as a long-term treatment option. However, the benefits must be weighed against potential side effects, and patients should be monitored closely to ensure safety and efficacy. This study underscores the importance of testosterone replacement therapy in managing hypogonadism and improving overall health outcomes in affected individuals.

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