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    Cialis is a widely-used and reliable treatment for erectile dysfunction. It is very easy to take and produces effective results in a majority of cases. Like all medicines though, it needs to be taken correctly to ensure that it has the desired effect and improves erectile potency. For those who are taking Cialis for the first time, here is our complete user guide. This should be taken orally, with a glass of water. The tablet can be taken either with food or without, but note that some PDE5 inhibitors have reported slower response times when taken alongside a big meal. Excessive alcohol use may also affect its function. If using Cialis 10mg or Cialis 20mg, take your tablet at least half an hour before engaging in sexual intercourse. metformin janumet Your health care provider will ask you questions about your symptoms and health history. They could do tests to view in case your symptoms are caused by a basic condition. You should expect an actual physical exam where your physician will pay attention to your heart and lungs, check your hypertension levels, and look at your testicles and penis. They could also recommend a rectal exam to check your prostate. Additionally, you may want blood or urine tests to rule out other difficulties. Therapists or counsellors is going to be very helpful, but they aren't able to do physical examinations, nor can they prescribe drugs. After that, he may well be able to give you some indication of the likely reason for your ED.

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