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indeed, the combination of PLC and the PDE5i sildenafil was found to be more effective than sildenafil as single agent in improving penile erectile function in diabetic patients [25], and the combination of PLC, ALC and sildenafil was more effective than sildenafil as single agent in improving IIEF-15 score and the clinical response to PGE1 injection in patients subjected to radical prostatectomy [26]

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NAC has also been shown to improve ED in animals if administered prior to intermittent hypoxic stress or injury.[50],[51] Antioxidants

Gottlieb, JR