Vixea Manplus on those nerves there's a lot of literature that that has identified men with erectile dysfunction secondary to chronic cycling without a doubt it's a pressure related injury and it's probably a combination of both blood flow and and nerve related issues and then you know what I don't want to do is scare the heck out of you I and I would say that I'm speaking in generalities Manplus here you know not everybody is is is gonna be what this guy was when I talked about this patient you're doing the right thing I would tell you that low testosterone if you have low testosterone supplemental testosterone may be an important benefit to you because of your other medical issues your vascular health that's an unknown so the question is 20 years of cycling is that is that gonna create permanent nerve damage and it depends on so many factors.
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