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doi: 10.1002/biof.1562

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Symptoms of Vitamin B deficiency may include: Megaloblastic anaemiaa condition of larger than normal sized red blood cells and a smaller than normal amount

[DOI] [PMC free article] [PubMed] [Google Scholar] 72.Abdi M., Pasbakhsh P., Shabani M., Nekoonam S., Sadeghi A., Fathi F., Abouzaripour M., Mohamed W., Zibara K., Kashani I.R., et al

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