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Researchers gave 32 men with ED a combination of intranasal PT-141 (either 7.5 or 10 mg) plus oral sildenafil (50 or 100 mg), then used a RigiScan device to objectively measure erectile rigidity over 6 hours.Impressively, adding PT-141 to sildenafil increased the duration of erectile activity by over five-fold compared to sildenafil alone

Possible side effects include: headache, flushing (warmth or redness of the face), dizziness or light-headedness, nausea, or transient fatigue/somnolence

I (Intervention): sublingual/oral administration of Vitamin B12

This seemingly minor modification creates profound pharmacological differences from both native IGF-1 and IGF-1 LR3