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Lifestyle Changes to Combat Erectile Dysfunction Treatment for ED depends on the cause, and erectile dysfunction has a range of possible causes: Conditions that affect blood flow to the penis, including diabetes, high blood pressure, high cholesterol, vascular disease, and chronic kidney disease Hormonal issues like low testosterone Issues affecting the brain and nervous system Physical injuries to the penis like a fracture Psychological or emotional issues, including depression, anxiety, stress, self-esteem problems, and fear of sexual intercourse Medication side effects Substance use, including tobacco, alcohol, and illicit drugs Adjusting your lifestyle may support improved ED symptoms for some people, especially those with mild ED

In other words, the premise is that only when the fat cells are "moving" can L-carnitine be used as a "transporter"

Which showed the most weight loss