sucks After 3 weeks I havent noticed any changes at all
a patient may be marginally responsive to a dose of between about 50 mg and about 100 mg of sildenafil, but by use of multiple agent therapy, even wherein each agent is independently a sub-therapeutic dose, the responsiveness is increased, such that the desired pharmacological response, such as an erection sufficient for sexual intercourse, results
Preservatives, while necessary for maintaining sterility in multi-dose pens, may contribute to localized tissue irritation and injection discomfort
Common investigations include full blood count, vitamin B12, folate, vitamin D (25-hydroxyvitamin D), ferritin, and potentially calcium and magnesium levels
The honest estimate from practitioners using this approach is that roughly 60 to 70% of patients see some degree of improvement, while 30 to 40% see no meaningful change
Some patients may experience mood changes or, rarely, psychotic episodes