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Introduction Erectile dysfunction (ED) is defined as the consistent inability to attain and maintain an erection sufficient to perform satisfactory sexual intercourse ( Normal penile erection is a neurovascular phenomenon controlled by psychological factors and coordinated by endocrine, vascular, and nervous system ( Figure 1 )
PMC 8812048
The core formulation is the same, but quality control, handling standards, and supplier credibility make a significant difference in purity and reliability
