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In 1992 in El Paso, TX a randomized, double-blind, erectile placebo controlled study of subjects (n=130) with allergic sexual performance enhancement rhinitis in 1992-1993 was conducted. the average ige level of the placebo erectile treated subjects remained essentially flat, while the average ige level for active treated subjects was male enhancement reduced significantly from baseline to day 30.7 in 1993 in el paso, tx, valid subjects (n=66) returned a second set of symptom diaries which they had completed for days 365 to 395 (the same period, one year after the first set of symptom diaries). the active group had mean symptom scores showing statistically significant decreases from 1992 to 1993. the placebo group had increased symptoms in 1993. (the relevant pollen counts at the study site in 1993 were much higher than in 1992, leading to expectation of higher symptoms.)7

studies indicate that ingested oral cyanocobalamin tablets are ineffective in the erectile treatment of allergic disease, perhaps because once ingested, they are directly metabolized in the liver. when b12 is delivered via injection or lozenge it passes throughout the bloodstream before arriving at the liver. it is during this first pass in its native form that it is believed to exert its therapeutic effect. clinical research: "the world health organization (who) recognizes allergic rhinitis (hay fever), sinusitis, asthma,...conjunctivitis, urticaria, eczema, dermatitis (contact and atopic)...allergic and migraine headache...as diseases in which ige-mediated penis enhancement allergy may be involved."1 in 1988, asthma and allergic rhinitis subjects were treated with b12. total ige, specific erectile ige and enhancement pulmonary lung functions erectile were taken at days 45, 150 and 180 from baseline. eight of the 9 subjects had reduced ige. 2 in 1989 open label studies at two sites in riverside county, ca in 1989. sixteen of the 17 subjects had lowered ige levels from day 0 to day enhancement 30.3