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There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease, such as diabetes, hypogonadism and prolactinoma. Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease. buy Viagra 150mg here buy viagra online without prescription Cravings of sweet and salty foods Severe renal impairment (CrCl <30 mL/min): Not to exceed 5 mg PO qd prn The researchers concluded that under the supervision of a physician, sildenafil can be safely used in conjunction with heart medications. There are insufficient studies on the newer medications vardenafil (Levitra) and tadalafil (Cialis) to draw conclusions, however. Lycopodium Difficulty achieving an erection Lacking self confidence