It's a different tool entirely, one that works upstream in the brain rather than downstream in the blood vessels, and for a specific subset of patients, it solves a problem that no PDE-5 inhibitor can touch
Id like to know how long we should try lifestyle changes, or whether they may not be necessary at all in some cases, before starting medications
Specifically, it appears to increase populations of Akkermansia muciniphila, a bacterium associated with improved metabolic health but also known to produce hydrogen sulfide as a metabolic byproduct
Instead of being labeled high risk, they look like someone actively stabilizing and improving
Age obviously this isnt one you can avoid
Eligibility is determined by a licensed clinician based on your health history