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Description
Combining psychological interventions like CBT with pharmacological treatments, such as PDE-5Is, leads to higher success rates and sustained improvements in ED, with remission rates reaching up to 69%

Seventh, these results should not be applied to patients with primary carnitine deficiency (typically arising from genetic alterations in renal handling or muscle transport of L-carnitine) or secondary carnitine deficiency (typically arising from impaired renal tubular resorption from drug toxicity or hemodialysis)

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