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The inability to get or keep an erection can be an early sign that there is a more serious underlying issue

IFN-, interferon-gamma

Maintenance sessions may be advised every few months

Biochemistry 41, 70087020

Additionally, at least five ancillary symptoms must be present, such as limb heaviness or generalized weakness, diminished concentration, or attention, decreased motivation or interest in usual activities, insomnia or hypersomnia, nonrestorative sleep, perceived need to struggle against inactivity, pronounced emotional response to fatigue, perceived short-term memory issues, or prolonged malaise following exertion (11)