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NICE-aligned management typically involves: Addressing modifiable risk factors (smoking cessation, weight loss, increased physical activity, alcohol reduction) Optimising management of underlying conditions (diabetes, hypertension, depression) Trial of PDE5 inhibitor therapy Referral to specialist services (urology/andrology) if first-line treatments fail or where structural/neurological/endocrine causes are suspected Consideration of psychosexual therapy where appropriate Men should be reassured that ED is a medical condition with effective treatments, and seeking help through proper channels ensures safety, appropriate investigation of underlying causes, and access to evidence-based therapies
Fluoxetine helps by improving the balance of serotonin in the brain, which can lead to a more stable mood, better emotional well-being, and reduced symptoms of mental health conditions like depression
In clinical practice, the MD could be recommended especially for patients who initiate semaglutide with a relatively uncomplicated metabolic profile, promoting gradual, sustainable weight loss without strict restriction
PlexusDx exclusively partners with 503A-licensed compounding pharmacies, ensuring every semaglutide injection meets manufacturing and safety standards equivalent to commercial pharmaceutical production
