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13 14 “I’ve observed that liver markers often improve when patients begin sermorelin, but those changes almost always occur alongside broader lifestyle and hormone interventions,” says Knight

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Other established ED treatments include: Vacuum erection devices Intracavernosal injections (alprostadil) Intraurethral alprostadil Testosterone replacement (for confirmed hypogonadism) Psychosexual therapy Penile prosthesis surgery (for refractory cases) All of these options have defined roles in ED management and are supported by clinical evidence