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In summary, The FDA warns against using compounding pharmacies that are not licensed: In response to this, we strictly procure our compounded medications from a state-licensed and accredited compounding pharmacy, thereby ensuring safety and quality control

So, if you feel all of the things mentioned above, and think that its just age, you may want to think again

Your GP may recommend: Reviewing your overall medication regimen to identify any potential contributors Optimising diabetes control , as better glucose management often improves sexual function Referral to specialist services if appropriate, such as endocrinology, urology, or sexual health clinics Addressing cardiovascular risk factors , as vascular health is closely linked to sexual function If you become pregnant or are planning pregnancy , contact your healthcare team immediately as Rybelsus is not recommended during pregnancy or breastfeeding