“…SBMA primarily affects men ( Müller et al, 2021 ); studies of cell and mouse models of SBMA reveal the requirement for circulating testosterone for the emergence and progression of disease symptoms ( Katsuno et al, 2002 , 2003 ; Takeyama et al, 2002 ; Chevalier-Larsen et al, 2004 ; Sopher et al, 2004 ; Yu et al, 2006 ). Patients experience facial, tongue, and proximal muscle weakness that is accompanied by cramps, intention tremor, and fasciculations ( Dejager et al, 2002 ; Atsuta et al, 2006 ; Rhodes et al, 2009 ; Guber et al, 2018 ).…”