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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
Late evening walks
Combine with B-complex vitamins and CoQ10 for mitochondrial support
His goal is to help patients build long-term wellness through practical habits, proper nutrition, and treatments that support the bodys natural ability to heal
This increased risk of coronary artery disease is likely because of the accelerated progression of cholesterol plaque formation in the arteries
