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some may respond within 15 minutes at higher doses [9] These medications work by enhancing nitric oxide-mediated relaxation of penile smooth muscle, facilitating increased blood flow during sexual stimulation

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They are unapproved compounded products, prepared by compounding pharmacies, which have not been reviewed by the FDA for safety, efficacy or quality in this indication

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Yes, with timing considerations: GHK-Cu + retinoid : Apply at separate times of day (morning and evening) to avoid potential chemical interactions