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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

United Healthcare reviewers examine HbA1c levels, BMI, comorbidities, and documented cardiovascular risk factors

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- Though there are no published studies, it is safe to assume the high carbohydrate hit in some other supplement loading phases can work to also help with carnitine absorption