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Areas to Avoid Avoid injecting into: Areas with scar tissue Areas with bruising or injuries Directly around moles or birthmarks Infected or inflamed skin areas Directly above or below joint areas ,

Another factor to consider is individual biochemistry

The drug's mechanismworking centrally rather than peripherallyhas been suggested to potentially offer advantages for men whose ED has a psychological component, but this remains speculative without further research

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely