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Viagra alternatives range from medical options like Cialis and Levitra to natural methods like acupuncture and even therapy. We break them all down here. When you think of erectile dysfunction ED, you probably think of Viagra. Luckily, there are effective alternatives to Viagra that are doctor-approved. One of the causes of ED is the presence of phosphodiesterase-5 PDE5, which can slow or reduce blood flow to the penis. This could cause someone to lose their erection prematurely or not be able to become erect at all.

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