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Propionyllcarnitine, larginine and niacin in sexual medicine: a nutraceutical approach to erectile dysfunction. Andrologia 44 (2012): 600-604.
Some potency loss may have occurred, but a briefly shaken vial is not necessarily ruined
There is constant research on these drugs and the results seem to be positive in many aspects from lowering the risk of dementia to improved kidney function
That is a different thing from the IGF-1 your body produces in response to growth hormone, which is the marker we track on your labs
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