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Propionyl-L-carnitine stimulates energy production in ischaemic muscles by increasing citric acid cycle flux and stimulating pyruvate dehydrogenase activity

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Molecular Biosystems, 11(12):3279-86

Indeed, although IIEF-6 is a validated questionnaire distinguishing between presence or absence of ED by considering the whole spectrum of aspects related to penile erectile function, and also grading the severity of ED in clinical setting, it still remains a subjective tool, prone to the risk of recall bias, patients emotional drawbacks or patients conditioning due to uneasiness or misinterpretation of questions