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Individual generic sildenafil, tadalafil, or vardenafil are available as FDA-approved medications through traditional prescribers or competing telehealth platforms - typically at a lower cost than compounded multi-ingredient formulations

Avoiding these triggers during your first month allows your body to stabilize on medication before reintroducing foods gradually

Breastfeeding is also not recommended while taking these medications, as the SmPCs state it is unknown whether they pass into breast milk in clinically significant amounts

Common side effects were predominantly gastrointestinal, including nausea, diarrhea, constipation, and vomiting, primarily during dose escalation [45] [46]

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