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For the capsule shells we use custom-made HPMC capsules that, unlike most other HPMC and pullulan capsules on the market, are 100% free from controversial additives such as carrageenans and PEG

Some patients experience mild, short-lived constipation lasting only a few days, while others notice persistent changes in bowel habits over weeks

Freeze-thaw cycles may alter peptide integrity and metal-complex stability

Research suggests that using a water- or silicone-based lubricant especially during sex can reduce friction and ease discomfort

Treatment response : As per NICE guidance, assess response after 6 months and continue only if adequate benefit is demonstrated (HbA1c reduction of at least 11 mmol/mol [1%] and/or 3% weight loss from initial body weight)

These include: sildenafil (Viagra) tadalafil (Cialis) avanafil (Stendra) vardenafil (Levitra, Staxyn) These medications require a doctors visit to get a prescription