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Muriach M, Flores-Bellver M, Romero FJ et al (2014) Diabetes and the brain: oxidative stress, inflammation, and autophagy

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They may recommend: Blood tests to check hormone levels (testosterone, oestrogen, thyroid function) Cardiovascular assessment if erectile dysfunction is present (this can be an early sign of heart disease) Referral to specialist services for sexual health or relationship counselling Medication review to identify other drugs that might contribute to sexual dysfunction You experience mood changes, depression, or thoughts of self-harm

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