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Low B12 can be caused by: Diet: B12 is found in high concentration in animal products like meat, eggs, and dairy

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A 2020 study found that those with vitamin B12 deficiency may present with cognitive disorder, though the deficiency was not shown to be a direct risk factor for cognitive decline ( However, results have been mixed and treatment with vitamin B12 wasnt effective at improving brain function in people with normal brain function ( Depression Its been suggested that there may be a link between low vitamin B12 levels and depression

Other established ED treatments include: Vacuum erection devices Intracavernosal injections (alprostadil) Intraurethral alprostadil Testosterone replacement (for confirmed hypogonadism) Psychosexual therapy Penile prosthesis surgery (for refractory cases) All of these options have defined roles in ED management and are supported by clinical evidence

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