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Further, these falsely advertised products should be withdrawn from the market due to potential adverse effects on the health of their consumers. The data required to reproduce these findings cannot be shared at this time as the data also forms part of an ongoing study. Furthermore, the postinjection clinical changes in penile girth and satisfaction levels over time differed significantly between the fillers. Previous studies suggest that a flaccid, rather than erect, penile girth is more likely to cause distress in men complaining of a small penis [22, 23, 24]. First, the PMA was harder than the HLA and PLA, making the penis feel more unnatural. Individual results may vary and are not guaranteed as the statements regarding these products have not been evaluated by the Food and Drug Administration or Health Canada. 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