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Work with a qualified clinician before initiating any peptide therapy

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are financed by fellowships from FAPESP (16/096794, 17/050074 and 17/040064, respectively)

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Other established ED treatments include: Vacuum erection devices Intracavernosal injections (alprostadil) Intraurethral alprostadil Testosterone replacement (for confirmed hypogonadism) Psychosexual therapy Penile prosthesis surgery (for refractory cases) All of these options have defined roles in ED management and are supported by clinical evidence

What safe access looks like A genuine clinical consultation before any prescription