Second-line treatments for men who do not respond to or cannot tolerate PDE5 inhibitors include: Intracavernosal injections (alprostadil) Intraurethral alprostadil Topical alprostadil cream Vacuum erection devices Penile prosthesis surgery (for refractory cases) When to seek urgent medical attention: Men should contact their GP promptly if ED develops suddenly, particularly if accompanied by chest pain, breathlessness, or other cardiovascular symptoms, as ED may indicate previously undiagnosed heart disease
Headache, 65(10), 18311838
Thanks for this helpful post
The uneducated clinicians will say, you dont have Intrinsic factor antibodies (IFA) so you dont have pernicious anaemia (PA) and so you will stay on tablets because we decided you can now miraculously absorb B12 from food! This ludicrous concept crops up frequently (I have blogged about it before here.) It needs repeating so often PA is just one of many causes and they are all serious and need correct treatment
S., Liu, K
Functions of the immune system, synthesis of chemicals and proteins required by the body, and tissue growth and repair are all aided by glutathione