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Integrating Additional Therapies into Combination Treatment Beyond tiered pharmacological treatments, combination therapy may also include: Hormone Replacement Therapy (HRT) Supports testosterone levels, improving libido, energy, and erectile quality Shockwave Therapy Promotes vascular regeneration and improved blood circulation over time Vacuum Erection Devices (VEDs) vacuum therapy provides immediate mechanical support when needed Behavioral and Cognitive Therapy Addresses performance anxiety, stress, and psychological barriers No single treatment addresses all dimensions of ED

Is a clinical review required, and what happens if I'm not eligible

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Common research-planning SubQ caps sit around ~300 mg weekly without further evaluation