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Use insulated bags and cooling packs to keep them within the correct temperature range when refrigeration isnt available
While its common side effects (such as gastrointestinal discomfort and fishy odor) are reversible and dose-dependent, chronic administration poses a specific risk because LC is metabolized into trimethylamine-N-oxidase (TMAO)a pro-atherogenic metabolite that paradoxically counteracts its cardioprotective role (Elantary and Othman, 2024)
How do I know if I should switch medications instead of alternating
NICE recommends PDE5 inhibitors (sildenafil, tadalafil) as first-line ED treatment, with success rates of 60-70% and well-characterised safety profiles
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