Patients achieve similar results whether they inject in the morning or evening, as long as they use the same day and time each week
They can discuss the risks and benefits of these treatments and help decide which option may be best for you
Benefits: Anti-aging, skin brightening, strengthen hair & nails, liver detoxification
Its mechanism makes it one of the only therapies that directly enhances desire rather than just physical function
Indications: Overactive bladder Common symptoms include urgency, urinary incontinence, and increased urinary frequency Side Effects: dry mouth constipation QT prolongation urinary tract infection worsening of myasthenia gravis aggravation of decreased GI motility in patients with autonomic neuropathy WARNINGS: angioedema of the face, lips tongue and/or larynx has been reported CNS Effects: agitation, confusion, hallucinations, abnormal behavior & memory impairment in patients taking 5 mg oxybutynin for more than 3 years compared to no use (Thomas & Walters, 2021): increased risk of dementia (adjusted hazard ratio 1.54) increased risk for Alzheimers disease (adjusted HR 1.63) Pharmacokinetics: taken orally by tablet, 5 or 10 mg once daily metabolized by CYP3A4 half life 13 hrs Notes: the estimated Walmart cost for generic oxybutynin is ~$9 for a supply of 30 generic tablets (GoodRx.com
However, direct GH replacement carries risks associated with supraphysiological dosing
