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Moreover, this kind of medicine is not under the patent act that the same formula cannot use the other companies. So are there natural remedies for erectile dysfunction that is of same powerful but without the danger? They are very expensive and notoriously unreliable. If you are unsure about anything related to your proper dose of this medication, please talk to your doctor, nurse, or pharmacist. After all, if you can't talk about something with the people who are the closest to you; how could you ever discuss that with a complete stranger? I bet it is addictive to many men - who know what it is good for! Always good to hear from you! 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