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If you've used a single PDE5 inhibitor and found the response unreliable, incomplete, or too narrow in its effects, a multi-ingredient formulation represents a different clinical approach that may be considered depending on your health profile

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doi: 10.1016/S0140-6736(99)04088-X 93 ChapmanCRVierckCJ
Baxter SM, Lund LC, Andersen JH, Brix TH, Hegedus L, Hsieh MH, et al
