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This formulation is often used by doctors for quicker therapeutic effects, especially in cases of severe deficiency or neuropathic pain

Journal of Endocrinology and Metabolism, 4(3), 6477

Because failure of one PDE-5 inhibitor does not necessarily preclude effectiveness of another agent, pharmacists should determine if the medication has benefited the patient

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However, there are currently no imaging findings considered specific for Lyme neuroborreliosis, and significant overlap exists with other neurologic conditions, particularly multiple sclerosis (120)
