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In the Australian D-Health RCT (n = 21,315

Tadalafil can lead to headaches, indigestion, back pain, nasal congestion, hypotension, skin flushing, limb pain, nausea, dizziness, vision changes, hearing loss, and rashes.64 Tadalafil may interact with alcohol, alpha-blockers, antihypertensives, and other medications.64 Fenugreek (Libifem) may be unsafe for those with thyroid or hormone-sensitive concerns.88 89 Reishi may interact with medications for diabetes, blood pressure, and blood clotting.90 Saffron shouldnt be taken by those with diabetes, hypoglycemia, low blood pressure, or bipolar disorder

K., Schrder, H., & Wittmann, C

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