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Causes include: Neurobiological factors (hypersensitivity of the ejaculatory reflex) Hormonal imbalances Inflammation or infection of the prostate or urethra Psychological factors such as anxiety, guilt, or depression Relationship issues Early sexual experiences that conditioned rapid ejaculation Many men with PE also develop secondary erectile dysfunction due to performance anxiety, creating a cycle that can be difficult to break without proper treatment

The most significant impacts of vitamin B12 include its supportive role in protecting the health of neurons and facilitating the production of neurotransmitters

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