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notify your physician in case you smoke; For those who have at any time experienced an erection that lasted over 4 hrs; and if you have lately experienced diarrhea, vomiting, not been ingesting sufficient fluids, or sweating lots which may have triggered dehydration (loss of a large amount of system fluids. Also tell your health care provider For those who have or have at any time experienced pulmonary veno-occlusive condition (PVOD; blockage of veins from the lungs); any ailment that affects the shape in the penis; diabetic issues; significant cholesterol; high or lower blood pressure level; irregular heartbeat; a coronary heart assault or coronary heart failure; angina (upper body agony); a stroke; ulcers in the stomach; a bleeding condition; blood circulation challenges; blood cell problems like sickle cell anemia (a illness in the crimson blood cells), several myeloma (cancer from the plasma cells), or leukemia (cancer in the white blood cells); or coronary heart, kidney, or liver disease.
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