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Gentile V, Antonini G, Antonella Bertozzi M, et al Effect of propionyl-l-carnitine, l-arginine and nicotinic acid on the efficacy of vardenafil in the treatment of erectile dysfunction in diabetes

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Urine N-acetyl--D-glucosaminidase (NAG), plasma neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, interleukin-6 (IL-6), interleukin-1 beta (IL-1), interleukin-10 (IL-10), 8-hydroxy-2-deoxyguanosine (8-OHdG), and tumor necrosis factor alpha (TNF-) were measured using ELISA kits from Elabscience Bionovation Inc

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If results are good and side effects manageable, theres no compelling reason to switch