If you have erectile dysfunction that's the earliest sign of endothelial dysfunction. Once you have sub threshold nitric oxide levels your arteries are not going to dilate very well so you can't bring blood flow into the penis to initiate or maintain an erection. Viagra, Cialis is a good band-aid but it just sometimes is a marker that you really need to get your heart checked out and I'm a kind of ask a specialist so most guys are coming to me to get screened.

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