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A perceived loss of effectiveness usually indicates a plateau rather than true medication failure

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This shift in bacteria has a positive effect on SCFA production and other pathways that trigger the release of GLP-1

Han JB, Li GQ, Wan PJ, Zhu TT, Meng QW

We dont know if use can cause tumors, cancer, or long-term effects on fertility

However, it is not considered a traditional ED medication like Viagra or Cialis

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