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[6] First-line pharmacological treatments include phosphodiesterase type 5 (PDE5) inhibitors, which are licensed, well-studied medications: Sildenafil (Viagra): Typically effective within 30-60 minutes, lasting 4-6 hours [7] Tadalafil (Cialis): Longer duration of action (up to 36 hours), also available as daily low-dose formulation [8] Vardenafil (Levitra): Similar efficacy to sildenafil with slightly different pharmacokinetics Avanafil (Spedra): Take approximately 30 minutes before sexual activity

Meta-analysis: the efficacy of azathioprine and mercaptopurine in ulcerative colitis

Source: O'Leary, F., & Samman, S

This can be due to having low levels of intrinsic factor in the digestive system, having a digestive condition, or following a plant-based diet

Direct head-to-head pharmacokinetic data versus SubQ NAD+ is limited