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For men who do not respond to oral medications, second-line treatments include vacuum erection devices, intracavernosal injections (alprostadil), intraurethral therapy, or penile prosthesis surgery

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Cyanocobalamin 30ml Vial (Sterimax) - (Expiry Note) 1000 mcg/ml Information Save on Generic Cyanocobalamin 5 x 1 ml Ampoules 1000 mcg/ml The generic Cyanocobalamin comes from Turkey also called Dodex manufactured by Deva Pharma

Reasons for a B12 Shot Vitamin B12 deficiency symptoms include depression and mood disorders, fatigue, memory failure, anemia, low blood pressure, and high homocysteine levels

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Studies consistently show a 2-4 fold increase in neural tube defects with low B12 status (3)