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At the cellular level, vitamin B12 acts as a cofactor for enzymes that play a critical role in DNA synthesis and neuroprotection

This happens because the medication increases serotonin, which can lower dopamine, reduce blood flow, and affect penile tissue relaxation, all important for a healthy sexual response

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I generally recommend starting with the lower dose of 0.25 mg for the first week before considering increases

This could involve confirmation and further study of the mechanisms already suspected to be impacted in the healing process