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doi: 10.1016/j.ejphar.2020.173198 266 XieSSunWZhangCDongBYangJHouMet al

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One observational study evaluated the effects of nattokinase in 153 patients with deep vein thrombosis, superficial vein thrombosis, or chronic venous insufficiency

Versus Alprostadil (Injectable or Urethral ED therapy): Alprostadil is a prostaglandin E1 that can be injected into the penis (Caverject) or inserted as a urethral pellet (MUSE) to cause an erection by locally dilating blood vessels