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Rabelink et al., 2017)

But what they don't say is they've already skimmed off 5%, 10%, 20% or more off the top through their GPO

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Specialist referral may be appropriate for: Complex cases or treatment failure with first-line options Confirmed hypogonadism requiring testosterone replacement (endocrinology referral) Anatomical penile abnormalities or consideration of advanced treatments such as penile prosthesis (urology/andrology referral) Significant psychological or relationship factors (psychosexual therapy or counselling) Uncertainty about cardiovascular fitness for sexual activity (cardiology assessment) Remember that addressing erectile dysfunction is an integral part of diabetes care, not a separate or optional concern

The immediate timeline Semaglutide has a half-life of approximately one week