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Notably, Hewitt et al

Dietary estrogensa probable cause of infertility and liver disease in captive cheetahs

Other potential physical causes of ED include: Hormonal imbalances (particularly low testosterone) Medication side effects Anatomical abnormalities or injuries Neurological conditions affecting nerve signals to the penis Lifestyle factors such as smoking, excessive alcohol consumption, and obesity Psychological factors can also play a significant role in many ED cases

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A recent study on autism found a link to two genetic mutations (not covered by 23andMe) in the gene that codes for the enzyme used to convert serotonin to melatonin

Chakarov, S