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Healthcare professionals lifestyle changes, such as: quitting smoking stopping or drinking less alcohol maintaining a medically recommended weight staying physically active stopping illegal drug use counselling medication to help get or keep an erection surgery, or implantable devices to get or keep an erection Healthcare professionals can also treat conditions or change medications that may be causing ED

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Shotgun metagenomic data confirmed that smoking induces salivary dysbiosis, with elevated Prevotella and Megasphaera and reduced Neisseria , Oribacterium , Capnocytophaga , and Porphyromonas