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For a significant and lasting impact on skin tone, a course of 8-10 injections is often recommended

Patients with pre-existing arrhythmias, heart failure, or ischaemic heart disease may face heightened cardiac risk and require specialist evaluation

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However, not everyone is a suitable candidate

Psychological causes The following psychological factors can cause a decline in libido: Stress and Anxiety: High levels of stress (work, financial, and personal) and persistent Anxiety can deplete mental energy, leaving little room for sexual desire