Proper nasal technique proves absolutely critical - head tilted slightly forward (not back), gentle breathing (not hard sniffing), alternating nostrils with 1-2 minute intervals, and avoiding immediate swallowing determines success versus complete failure
This treatment can be particularly beneficial for women navigating hormonal changes due to perimenopause or menopause, as well as those experiencing stress-related decreases in libido
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In the U.S., state medical boards could similarly sanction physicians for gross deviations from standard care if a complaint is filed