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Letters Heart attacks in men using testosterone

Author’s reply to Hackett

BMJ 2014; 349 doi: (Published 02 December 2014) Cite this as: BMJ 2014;349:g7245
  1. Sidney M Wolfe, founder and adviser1
  1. 1Public Citizen’s Health Research Group, Washington, DC, USA
  1. swolfe{at}

In a response to my column,1 Hackett criticises the study by Finkle et al, which investigated about 55 000 men prescribed testosterone, considerably more than any previously published study assessing the cardiovascular risk of testosterone products.2 It found a significantly increased rate of non-fatal myocardial infarction in the three months after initial testosterone prescription compared with the previous year.3

Hackett challenges the validity of using non-fatal myocardial infarction as …

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