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MADRID, July 3 (Reuters) - The new president of the Spanish tennis federation (RFET) has fired the nation's first female Davis Cup captain, Gala Leon, two weeks before the Group I second-round tie away to Russia.Leon, who had a career-high ranking of 27 as a player, was a surprise choice to replace Carlos Moya, who stood down last year after the five-times winners were relegated from the World Group following defeat by Brazil in a playoff.
This occurs in an estimated 10 to 20% of people, primarily normosmic CHH cases rather than KS cases and only found in people who have undergone some form of testosterone replacement therapy.
Deficiency in either testosterone or oestrogen can increase the rate of bone resorption while at the same time slowing down the rate of bone formation.
Overall this can lead to weakened, fragile bones which have a higher tendency to fracture.
Even a short time with low oestrogen or testosterone, as in cases of delayed diagnosis of KS/CHH can lead to an increased risk of developing osteoporosis but other risk factors, such as smoking are involved so the risk of developing it will vary from person to person.
Bone density scans are recommended to monitor the bone mineral density.