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[6] [10] You should arrange a GP appointment if you experience: Persistent difficulty achieving or maintaining erections sufficient for sexual activity Sudden onset of erectile problems, especially if accompanied by other symptoms Reduced libido or changes in sexual desire Pain during erection or intercourse Concerns about fertility or reproductive health Psychological distress related to sexual function Your GP will conduct a thorough assessment including medical history, medication review, and examination

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Meta-analyses of randomised controlled trials (RCTs) also confirm that energy-restricted MD interventions yield greater weight loss than control or low-fat diets, particularly when combined with increased physical activity [116]