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Therefore, Ex-4-induced decreases in excitatory neurotransmission to cardiac vagal neurons may be associated with changes in activity of NTS neurons related to baroreflex function

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10.1016/j.neuropharm.2011.12.015 103

Piperno A, Pelucchi S, Mariani R

The combined effects of restored metabolic balance, reduced mitochondrial injury, and suppressed inflammation promoted tissue regeneration within the corpus cavernosum, ultimately improving erectile function

Sleep disturbances, including difficulty falling or staying asleep, have been reported by some trial participants, though a confirmed causal link has not yet been established