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Further work is needed, including randomized placebo-controlled trials, to evaluate the efficacy of using PDE5Is for outcomes specific to PD

Sinatra, M.D., is a board-certified cardiologist, a certified bioenergetic psychotherapist, and a certified nutrition and anti-aging specialist

Anderson and Haynes, 2020

Does L-carnitine therapy add any extra benefit to standard inguinal varicocelectomy in terms of deoxyribonucleic acid damage or sperm quality factor indices: a randomized study
