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Kidney or liver problems : Severe kidney or liver impairment may affect how these medications are processed in your body

Compared with potent controls, ED men non-responders for oral sildenafil citrate showed significant decreases in the mean serum l-carnitine level (16.8 3.6 uM/L versus 66.3 11.9 uM/L, P = 0.001), the mean serum 25(OH)D level (21.2 7.1 ng/ml versus 54.6 7.9 ng/mL, P = 0.001) and IIEF-5 score (7.8 2.6 versus 23.9 1.3)

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