The Indo-PAT test is used in some clinics, but it's not near as pervasive as it needs to be. The loss of nitric oxide production precedes the structural changes and the onset of cardiovascular disease by many years or decades. When you lose the ability to make nitric oxide, you may not have hypertension or ED yet. But if you start to see the reactive hyperimia and the functional activity of the noss enzyme in the fetal cell starts to become compromised, that's when you need to take corrective action.

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