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Brant, MD, FACS, FECSM, reviews the 2018 American Urological Association (UAU) guidelines and practical approaches in erectile dysfunction (ED) evaluation, diagnosis, and treatment

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The transsulfuration pathway involves the transfer of sulfur, converting homocysteine to cysteine, a precursor for glutathione production.* Glutathione then helps neutralize and eliminate: mercury [2], arsenic [3], cadmium [4], bisphenol A (BPA) [5], pesticide residues, and other toxins [6].* Poor MTHFR function can lead to elevated homocysteine, a byproduct of methionine metabolism