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When to Consider Alternatives If the medication isnt working, consult a healthcare provider
No improvement in penile blood flow measured via Doppler ultrasound in a subset
However, both compounds individually cause: Nausea (60-80% of users at higher doses) Vomiting (20-35%) Diarrhea (25-40%) Injection site reactions (15-25%) Potential pancreatitis (rare but serious) Combining these compounds could theoretically amplify these effects, though the actual incidence and severity remain unstudied
Some patients may feel side effects almost immediately, while others might not notice anything for a day or two
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