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In practice, 46 doses a month will provide excellent results for most men without desensitization

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Advantages and scientific basis of combination therapy The combination of PDE5 inhibitors (PDE5i) and certain nutritional supplements for treating erectile dysfunction (ED) may offer several potential advantages, supported by scientific evidence: Enhanced Efficacy: Some studies suggest that combining PDE5 inhibitors with certain nutritional supplements, such as L-arginine, ginseng, or zinc, may enhance the efficacy of ED treatment