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Do you feel like you’re reliving the movie Grumpier Old Men? Jack Lemmon and Walter Matthau are reunited. So what is different about them now? Well, obviously there are physical changes including increased body fat, reduced muscle bulk, strength and endurance. And underneath it all decreased bone density. Swollen or tender breasts and loss of body hair are also possible. Changes in sleep patterns can also occur. The inevitable erectile dysfunction and fewer spontaneous erections are part of the sequelae of male menopause. The grumpy part can be a result of low testosterone and may contribute to a decrease in motivation or self-confidence. There may be feelings of sadness or depression or difficulty concentrating and remembering things. Some of these