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Both peptides target abdominal fat, but through different mechanisms

The beneficial effect in some studies and not in others cannot easily be explained on the basis of baseline selenium status, stage of disease, baseline TPO-antibody titres, form or dose of selenium used ( Reference Effraimidis and Wiersinga 4 )

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The NHS and NICE recommend PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil) as first-line treatment, alongside lifestyle modifications and management of underlying conditions

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