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Additional research published in Clinical Nutrition (2011) found that L-arginine supplementation (3g daily) resulted in measurable improvements in flow-mediated dilation within 2 weeks, indicating enhanced vascular function. Panax ginseng clinical validation includes a comprehensive systematic review published in the Cochrane Database (2018) that analyzed 9 randomized controlled trials involving 587 men. For example, a particular study might show that testosterone therapy is correlated with a statistically significant improvement in the IIEF scores in a given population; however, the clinician may not feel that this has any clinical meaning for the patient in terms of his QoL or sexual function. There is no utility in continuing testosterone therapy in men who achieve target testosterone levels without symptom improvement. Patients on testosterone therapy should have serum testosterone levels checked every 6-12 months to ensure maintenance of target levels. 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