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[6] First-line pharmacological treatments include phosphodiesterase type 5 (PDE5) inhibitors, which are licensed, well-studied medications: Sildenafil (Viagra): Typically effective within 30-60 minutes, lasting 4-6 hours [7] Tadalafil (Cialis): Longer duration of action (up to 36 hours), also available as daily low-dose formulation [8] Vardenafil (Levitra): Similar efficacy to sildenafil with slightly different pharmacokinetics Avanafil (Spedra): Take approximately 30 minutes before sexual activity

Using the wrong diluent

BPC-157: This peptide stimulates the growth of new blood vessels (angiogenesis), which improves blood flow to the injured area

If you are taking phentermine and not experiencing reduced appetite or increased energy, that is a signal worth raising with your provider