If sexual difficulties persist beyond the initial adjustment period (typically 36 months), consider whether other factors might be contributing, such as undiagnosed diabetes complications, cardiovascular disease, or hormonal imbalances
Malcolm chimed in, stating that he has quite a few patients who got sick hiking abroad and we have no idea what kinds of infections they have picked up
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The economic burden is staggering, as treating the cascade of related comorbiditiesincluding cardiovascular disease, hypertension, and certain cancersconsumes a significant portion of healthcare budgets