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But theyre also hard to manage and handle because they require refrigeration and too hard to transport

Dietary changes: Incorporate B12-rich foods such as eggs, salmon, fortified cereals, and dairy

These factors should inform provider discussions, not replace medical judgment

Specifically, long-term hyperglycemia impairs the function of smooth muscles in the corpus cavernosum by reducing mitochondrial biogenesis, increasing adenosine diphosphate (ADP)/ATP ratios, altering ultra structural changes, and triggering ROS [53]

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