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Furthermore, the authors reported a notably higher incidence of transient adverse effects such as injection site pain, dizziness, and leg numbness in the prolotherapy group

In one ED-focused study, inadequate B12 levels were reported in some participants, and deficiency can cause symptoms like fatigue, nerve issues, and mood changes that may indirectly undermine sexual performance

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Testosterone enanthate: ~57 days (slightly shorter ester)

13-15 Although the precise molecular mechanisms underlying methylcobalamin-mediated myelination are unknown, a number of models have been suggested, including increased synthesis of lecithin (the primary component of myelin sheath lipids) 16,17