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this effect may be due to interference with erythrocyte maturation

In one study on rat models, cytokine therapy designed to promote angiogenesis and stimulate endothelial growth was proven to effectively treat ED

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Having said that some patients do get a paradoxical response to B12 and present with fatigue, headaches, and flu-like symptoms

10.1016/j.cgh.2013.07.001 14
