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Rosentock J, Zinman B

If sexual dysfunction persists and is significantly affecting quality of life, your doctor may discuss alternative diabetes treatment options or refer you to specialist services, such as urology (for persistent erectile dysfunction), endocrinology (for hormonal abnormalities), or psychosexual therapy via NHS services

Others see a worsening of symptoms due to immune and estrogen changes

Ingredients Water, 5% L-carnitine, fructose, acidifier (citric acid), flavouring, preservative (potassium sorbate), sweeteners (cyclamate, acesulfame K, saccharin), pyridoxine hydrochloride, emulsifier (mono- and diglycerides of fatty acids)