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171 Trials in aging men with erectile dysfunction have found treatment with tribulus extract, at a dose of 250 mg three times daily for three months, can increase testosterone levels and improve erectile function without worsening lower urinary tract symptoms

doi:10.1093/humupd/dmq003

Gloyn compares it to insulin resistance, which remains only partly understood despite decades of research, although treatments have been developed

Statistical analysis Statistical analysis was performed with SPSS 21.0 for Windows (IBM, Armonk, NY, USA)

These biomarkers track metabolic, cardiovascular, and hormonal health, in addition to measuring inflammation and key nutrients over time

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