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10.1038/cddis.2014.155 Cell Death Dis

Importantly, muscle degeneration and congestion were significantly decreased in the IR + BR group compared to the IR group ( p = 0.024) (Table-1

One could envision a future combination where a man might use a low dose of PT-141 to get in the mood and an intra-penile injection for guaranteed rigidity but thats a fairly involved regimen and would be reserved for extreme cases

[Intra-spermatic L-carnitine and survival of sperm motility] [PMID: 10379149] Laboratory literature summary: [Intra-spermatic L-carnitine and survival of sperm motility]