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Takahashi H, Yang G, Yoneshiro T, Abe Y, Ito R, Yang C, et al

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Lin H, Xiong W, Fu L, Yi J, Yang J

Withdraw the required amount using a sterile syringe, and mix your sterile water with your peptide vial

BMJ 348 , g1799 (2014)

Second-line treatments for men who do not respond to or cannot tolerate PDE5 inhibitors include: Intracavernosal injections (alprostadil) Intraurethral alprostadil Topical alprostadil cream Vacuum erection devices Penile prosthesis surgery (for refractory cases) When to seek urgent medical attention: Men should contact their GP promptly if ED develops suddenly, particularly if accompanied by chest pain, breathlessness, or other cardiovascular symptoms, as ED may indicate previously undiagnosed heart disease