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AbstractPurpose To describe the effects of consistent levels of testosterone in a pellet form and it’s potential to reverse osteoporosis.Methods This is a descriptive case report of a 54 year male with a spontaneous fracture and osteoporosis in the presence of what many consider a normal male testosterone level.Results After discovering and documenting osteoporosis by DXA scan, the patient was shown to reverse the diagnosis of osteoporosis in a year on pelleted testosterone therapy. Consistent levels of 943 ng/dL were achieved; the patient also experienced improvements in quality of life and sleep apnea.Conclusion Testosterone deficiency (TD) is a clinical syndrome and osteoporosis can be found in levels above standard “criteria” of 300. This patient did not realize a benefit on injections both physical and clinically and both improved on pelleted testosterone. This should be further studied and considered for TD in men.