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For example, testosterone therapy comes with risks, like reducing sperm production (which wouldn't be good for people who want to keep their fertility) and worsening sleep apnea when used for normal aging. If you've consulted with a doctor and they've determined your symptoms are due to low testosterone, and they can't be helped by lifestyle changes, what they'll recommend depends on your future plans and health goals, according to Herati. Also, keep in mind supplements and vitamins are not regulated by the FDA, so always check with your doctor or a dietician before adding one to your routine, even if you can get it over-the-counter. Invariably, identical treatment means treating everyone as if they were part of the dominant (privileged) group Chapter 18 Gender, Diversity, and Cultural Competence without considering cultural and individual differences. The APA (2007) guidelines clearly recognize connections and interactions of multiple identities and power relations, and they emphasize social justice and advocacy in the specific guidelines for psychological practice. Privilege typically is experienced by those with dominant social identities (e.g., white, male, upper/middle class), and privilege often is unrecognized by those people who have it.