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Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes of why tadalafil (Cialis) may stop working well. Addressing underlying problems is important not only for sexual health but also for heart health.

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Here are some steps that might help:If you smoke, quit. If you have trouble quitting, get help. ... Lose excess pounds. Being overweight can cause — or worsen — erectile dysfunction.Include physical activity in your daily routine. ... Get treatment for alcohol or drug problems. ... Work through relationship issues.Dec 3, 2021

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Ivermectin can also cause human neurotoxicity by interacting with inhibitory GABA receptors in the brain. Fortunately, ivermectin taken at therapeutic doses does not effectively cross the blood-brain barrier because it is pumped out of the CNS by the P-glycoprotein (P-gp) transporter.

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