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It works by enhancing blood flow to the penis, which may help in achieving and maintaining an erection during sexual activity

76,77,78,79,80,81,82,83 Not all studies reported which form of B12 was used, but all that specified form had used methyl-B12

Patients frequently experience: Fatigue and generalised weakness that persists despite adequate rest Breathlessness on exertion due to anaemia Palpitations and reduced exercise tolerance Pallor of the skin and mucous membranes These symptoms result from megaloblastic anaemia, where impaired DNA synthesis leads to the production of abnormally large, dysfunctional red blood cells with reduced oxygen-carrying capacity

One popular and effective treatment is a viscosupplementation gel injection