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Summary: Several peptides are discussed for erectile dysfunction, but none are licensed by the MHRA for this use in the UK, and they lack robust clinical evidence supporting their safety or efficacy

Dietary supplements, including green tea extract (particularly when standardized to have a high catechin concentration) and kava, black cohosh, high-dose curcumin, and some Chinese herbal preparations, are implicated in hepatocellular injury, cholestasis, or fulminant hepatic failure in both single case reports and small clinical series

While it originally gained popularity as an injectable, the nasal spray format offers a more accessible and painless alternative

Increased Dopamine Output in Mesocorticolimbic Areas and Protection toward Acute Stress Exposure
BBC Panorama also obtained emails which it alleges show that Fudge flew to Zurich five days before the 2014 London Marathon after Farahs coach, Alberto Salazar, introduced him to a contact that could obtain batch-tested L-Carnitine in the injectable form needed, which was not obtainable in the UK
