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Options include: Bupropion (strongest evidence for improving sexual function) Mirtazapine Agomelatine Moclobemide Vortioxetine (lower risk compared to SSRIs) Switching between SSRIs rarely solves ED because the mechanisms are similar

Who is most susceptible to B12 deficiency ( 2 ): Those with digestive disorders such as IBD and gastric resections Use of Proton Pump Inhibitors (Prilosec) for more than 12 months Use of Histamine (H2) blockers to treat heartburn for more than 12 months Vegans or strict vegetarians Adults over 75 years old Four Reasons to Get B12 Injections: Healthy Pregnancy - You may know that folate is essential for a pregnant woman to prevent birth defects like spina bifida

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