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A 2016 meta-analysis in the Journal of Sexual Medicine (N=1,176) found that testosterone therapy improved erectile function scores but left a substantial proportion of men with residual ED, suggesting that structural cavernous factors are not corrected by androgens alone

Also discard if the solution appears cloudy, contains particles, has been left at room temperature for more than 48 hours, or is past the 28-day mark

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In some cases, injections are paused to monitor natural absorption or due to changing medical needs, not because B12 is unsafe