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    But with little regulation of dosage or ingredients, the health effects of these products are unknown, the researchers said in background notes.
    Viagra that can be dangerous to men with certain health problems, the researchers added.
    The researchers identified top-selling male sexual-help supplements and analyzed the ingredients, including those in products marketed to enhance erections, desire and sexual performance.

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    While certain natural supplements we reviewed show promise for improving mild sexual dysfunction, they lack robust human evidence," study senior author Dr.
    Ryan Terlecki, an associate professor of urology at Wake Forest Baptist Medical Center in Winston, Salem, N.C., said in a center news release.
    In addition, because of concerns that some products are impure or weak, we do not routinely recommend these products to our patients," he added.
    DHEA , Ginkgo biloba, fenugreek and maca, the researchers found.
    One study reviewed by the researchers found that 81 percent of tested samples of over-the-counter male sexual enhancement products bought in the United States and Asia contained PDE5Is.
    PDE5Is cannot yet be legally sold over the counter in this country," Terlecki said.
    PDE5Is at the same time, the researchers said.
    SOURCE: Wake Forest Baptist Medical Center, news release, Jan.

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