Inclusion Criteria:  Male cirrhotic patients >18 years of age Patient must attend the outpatient clinic of the Liver Institute at Methodist Dallas Medical Center willing to provide informed consent to participate in the study  Exclusion Criteria:  Patients with a history of cirrhosis <18 years of age Cirrhosis patients with active infection Cirrhosis patients with active gastrointestinal bleeding Cirrhosis patients on hormone replacement therapy testosterone Cirrhosis patients on any antihypertensive medications