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Cost-effectiveness and ease of access factors The cost of glutathione injections changes a lot depending on the location and type of treatment

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J Am Coll Cardiol (2022) 80(25):236171

Congenital total (patient 1) and subtotal (patient 2) leuconychia (white nails syndrome, or milky nails)

Key advantage: Works even when Viagra/Cialis fail No interaction with alcohol or food Effective in neurogenic, psychogenic, and post-surgical ED Indications Erectile dysfunction (especially PDE-5 non-responders) Low libido (male & female) Performance anxietyassociated ED Adjunct to PDE-5 inhibitors Post-prostate or vascular compromise patients Administration Route : Subcutaneous injection Site : Abdomen or thigh Needle : 31G insulin syringe Timing : On-demand Dosing guidelines Start Low, Titrate Up Men Starting dose: 0.5 mg SQ Typical effective dose: 1.0 mg SQ Max dose: 1.52.0 mg SQ Frequency: No more than 1 dose per 24 hours, 23x per week max Women Starting dose: 0.250.5 mg SQ Typical dose: 0.51.0 mg SQ Onset & duration Onset: 3090 minutes Peak effect: ~24 hours Duration: 612 hours (sometimes longer) Important counseling point:PT-141 increases desire first , erection may follow