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Description
Both the European Association of Urology and SIAMS guidelines identify intracavernosal alprostadil as the treatment of choice for patients who do not respond to PDE5-Is, including those with advanced diabetic neuropathy [36,42]

They inhibit carnitine uptake at the level of the carnitine transporter in renal cells, causing increased carnitine losses in the urine and systemic secondary depletion of carnitine

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