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    Natural options like L-arginine, horny goat weed, or yohimbe may help mild cases but lack clinical backing for severe ED. Prescription PDE5 inhibitors remain more reliable. Always consult a healthcare provider before combining supplements with medications.

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  18. Men seeking prolonged effects (opt for tadalafil instead).
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    Always get a medical evaluation to rule out underlying conditions like diabetes or hormonal imbalances. For psychological ED, therapy may be more effective than medication alone.

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