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1,57 It is more likely to occur in offspring of consanguineous couples and is characterized by mild, predominantly conjugated and unconjugated hyperbilirubinemia

NAD+ levels decline by approximately 50% between ages 40 and 60, as measured by Zhu et al

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Step 1: Precision Diagnosis and Tailored Treatment Each patient begins with a detailed consultation, which may include: A review of medical history and lifestyle factors Psychological screening for conditions like performance anxiety or depression Diagnostic tests such as penile Doppler ultrasound to evaluate blood flow Biothesiometry to assess nerve sensitivity These insights enable clinicians to map the origins of a patients sexual dysfunctionwhether vascular, neurological, hormonal, or psychogenicand prescribe a targeted treatment strategy