HGH, secreted by our pituitary glands every night during sleep, primarily functions to regulate cell and organ growth and reproduction
Initial assessment should include: Detailed medical and sexual history, including medication review Cardiovascular risk assessment (e.g., QRISK3 score) Examination of external genitalia and secondary sexual characteristics Blood pressure measurement Blood tests: fasting glucose or HbA1c, lipid profile, early morning (before 11am) total testosterone (repeat if low), consider prolactin and thyroid function if clinically indicated First-line pharmacological treatment: Phosphodiesterase type 5 (PDE5) inhibitors are the mainstay of ED treatment and include sildenafil, tadalafil, vardenafil, and avanafil
Tamoxifen inhibits endothelial cell proliferation and attenuates VEGF-mediated angiogenesis and migration in vivo
People Experiencing Fatigue : Those dealing with chronic tiredness or low energy levels often find relief with regular B12 injections
The Colorado Multiple Institutional Review Board determined this study represented nonhuman subjects research (COMIRB #24-1145)
