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It has now been found that the use of acetyl L-carnitine in combination with propionyl L-carnitine, or one of their pharmaceutically acceptable salts, enhances the efficacy of drugs known to be useful for the treatment of erectile dysfunction secondary to all those conditions in which there is distress or iatrogenic damage of the lesser pelvis within which the neurovascular bundles of the penis run

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or it can be retested after a period on a low-histamine diet, to see if numbers have fallen

Avsian-Kretchmer O, Eshdat Y, Gueta-Dahan Y, Ben-Hayyim G (1999) Regulation of stress-induced phospholipid hydroperoxide glutathione peroxidase expression in citrus