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While hallucinogens and stimulants can contribute to an overdose, the vast majority are not fatal

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Stress and Hormone Modulation: Evidence suggests DSIP may regulate cortisol, growth hormone, and other neuroendocrine pathways, contributing to stress reduction and recovery

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(1992, Biochem J) demonstrated that IGF-1 and its variants including Long R3 IGF-1 are anabolic in dexamethasone-treated rats, confirming the utility of IGF-1 LR3 in models of catabolic states and muscle wasting where native IGF-1 activity is suppressed by glucocorticoid-driven IGFBP upregulation

Cyanocobalamin, while not a direct treatment for sexual dysfunction, can be considered as part of a holistic approach to improving a patients overall health, which may in turn support better sexual function