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Comparing the highest with the lowest quintile corresponded to a 33% higher risk of ASCVD (HR 1.33, 95% CI 1.021.74) after multivariable adjustment

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They monitor certified pharmacies continuously, not just at the point of initial certification

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Your GP can initiate treatment with PDE5 inhibitors (which are prescribable on the NHS for men with diabetes, subject to local policies) or refer you to specialist services if required