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WO2006050794A1 Use of acetyl l carnitine in combination with propionyl l carnitine and sildenafil for the treatment of erectile dysfunction Google Patents Reader Comments L carnitine and viagra: what the evidence actually shows about this combination Serum l carnitine and vitamin D levels may be low among oral sildenafil citrate non responders International Journal of Impotence Research

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pmid:37117459 50

10.1002/jcp.27110 J

There are animal studies showing that supplementing with NAD+ precursors, nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN) may help, however the general consensus seems to be that oral bioavailability is low