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NICE-aligned management typically involves: Addressing modifiable risk factors (smoking cessation, weight loss, increased physical activity, alcohol reduction) Optimising management of underlying conditions (diabetes, hypertension, depression) Trial of PDE5 inhibitor therapy Referral to specialist services (urology/andrology) if first-line treatments fail or where structural/neurological/endocrine causes are suspected Consideration of psychosexual therapy where appropriate Men should be reassured that ED is a medical condition with effective treatments, and seeking help through proper channels ensures safety, appropriate investigation of underlying causes, and access to evidence-based therapies

If you want to estimate your body water, you may want to try the Watson formula, reported in a 1980 study entitled Total Body Water Volumes for Adult Males and Females Estimated From Simple Anthropometric Measurements in the American Journal of Clinical Nutrition

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That prescription goes to a compounding pharmacy, which then ships the peptides to the patient