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The men in the study had the usual medical issues seen in men with ED (high blood pressure, overweight, heart disease, diabetes, etc.) and yet the majority still had significant benefit and were able to have hard enough erections for sex

Thiamine deficiency is rare in areas with regular access to food and supplements

Vitamin B12 is an essential nutrient with roles in energy production, red blood cell formation, and DNA synthesis.*

sometimes they may recommend a nutrition plan tailored to your condition (for instance, high-protein diet if you have wounds to heal, etc., along with the vitamins)

This article explains what Mounjaro actually contains, why the B12 question arises, and when nutritional monitoring matters