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This is distinct from lyophilised peptides, which are stable at 20C because they exist in a dehydrated crystalline state where ice cannot form

6) (References in Table 6: De Leon-Oliva et al., 2023[24]

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For patients with low response to PDE5I, other treatments include intracavernosal injection, hormonal treatment, vacuum erection device, and penile prosthesis implantation can also be alternative methods