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"Low dose" is not the same as metabolically neutral

a further subject of the present invention is the use of acetyl L- carnitine and propionyl L-carnitine, alone or in combination with one or more of said useful drugs, for the preparation of a medicament and /or dietetic product for the treatment of erectile dysfunction secondary to all those conditions in which there is distress, iatrogenic damage or trauma of the lesser pelvis within which the neurovascular bundles of the penis run, in which said damage is caused, for example, by radical retropubic prostatectomy without bilateral saving of the neurovascular bundles

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Vitamin E, a fat-soluble antioxidant, works synergistically with GPx4 to halt lipid peroxidation chains in membranes