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Li, L., Bagley, D., Ward, D.M
Additionally, when directed toward mitochondria and betaine synthesis, choline serves as a methyl donor for histone and protein methylation, key processes that regulate gene expression and cellular activity
(Cavallini 2005) Patients receiving L-carnitine in addition to sildenafil 100mg (as needed) reported significantly less erectile dysfunction, as measured by the International Index of Erectile Function questionnaire
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