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Enhanced microcirculation is thought to facilitate delivery of metabolic substrates and signaling molecules necessary for connective tissue repair

Numerous other patents and publications describe the use of acetyl L-carnitine and propionyl L-carnitine for therapeutic and/or nutritional purposes, but none of the documents cited above describe these compounds as agents useful for enhancing the efficacy, for example, of sildenafil in the treatment of erectile dysfunction secondary to all those conditions in which there is distress or iatrogenic damage of the lesser pelvis within which the neurovascular bundles of the penis run

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However, excessive use of lubricant should be avoided, otherwise excess lubricant may accumulate at the bottom of the suppository mold and cause homogeneity, dosage and application problems

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