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If there is no response to a 2-3 month trial of regular PDE5 inhibitor treatment, consider referring the man to a medically robust, caring provider for consideration of intracavernosal injection treatment

IGF-1 plays a central role in tissue repair and cell growth but should be used cautiously due to its proliferative effects. Pollak, Nature Reviews Cancer Stacking HGH and IGF-1 increases potential benefitsbut also compounds side effect risks if not carefully managed

9.13.22 Christine said: In particular thats an ingredient that we dont know much about in terms of what is in it, and it can vary a lot more than similar ingredients (like bee venom, thats much more uniform)

doi: 10.1056/NEJM197502202920811
