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Any product claiming permanent penile enlargement with a pill or cream should be considered suspicious unless it is supported by proper clinical evidence and prescribed for a clear medical condition

Cureus 2017;9:e1577

This includes golf, tennis, baseball, rowing, and yoga

The rare individual who might consider this combination needs exceptional GI tolerance proven on prior GLP-1s, physician supervision with frequent monitoring, ability to afford $15,000-30,000 annually, understanding they're experimenting on themselves, and willingness to stop immediately if severe side effects emerge

Extra B12 is usually removed from the body within 48 hours, depending on urine volume