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They're a secondary benefit tied to the metabolic component

doi: 10.1034/J.1399-3038.2002.00010.X 236 RosenlundHMagnussonJKullIHkanssonNWolkAPershagenGet al

Alprostadil: Enhances blood flow by expanding blood vessels

Non-genotoxic carcinogens do not cause direct DNA damage