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In most cases, yes
However, in methylcobalamin deficiency, the conversion of methionine to S-adenosylhomocysteine (SAH) occurs after the formation of S-adenosylmethionine (SAM), leading to a decrease in the SAM : SAH ratio
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some may respond within 15 minutes at higher doses [9] These medications work by enhancing nitric oxide-mediated relaxation of penile smooth muscle, facilitating increased blood flow during sexual stimulation
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