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Those pregnant, breastfeeding, or undergoing cancer treatment should avoid it until more data becomes available

This dilation of the cavernosal arteries is accompanied by increased arterial inflow velocity, along with increased venous outflow resistance

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Before You Start: Who Might Benefit & Safety Basics Begin by confirming vitamin B12 deficiencyhistory and exam plus labs (serum B12, and when borderline, methylmalonic acid)

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