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doi: 10.2337/db19-1046

In line with recommendations made by Dr Charles Runels, inventor of the P-Shot, we strongly recommend the regular use of a penis pump after your treatment

In general, no common foods or over-the-counter products significantly reduce the effectiveness of hydroxocobalamin injections, but your provider will manage any potential

Given their non-invasive nature and similar clinical performance, these routes may represent suitable alternatives to intramuscular therapy, particularly in settings requiring long-term management
