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One observational study evaluated the effects of nattokinase in 153 patients with deep vein thrombosis, superficial vein thrombosis, or chronic venous insufficiency

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In patients that are not stable enough for liver biopsy, such as those with hypotension, coagulopathy or HE, fine-needle aspiration with cytology offers a less-invasive diagnostic approach as it can usually be performed quickly with light sedation

Versus Alprostadil (Injectable or Urethral ED therapy): Alprostadil is a prostaglandin E1 that can be injected into the penis (Caverject) or inserted as a urethral pellet (MUSE) to cause an erection by locally dilating blood vessels

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