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Austin Letorney is a writer who covers health, entertainment, lifestyle, and fitness. The Edge upholds the highest standards of health journalism. Understand the bigger picture of midlife health, from hormones to healthy aging—delivered to your inbox every Monday. Again, FDA approvals of Cialis and Viagra are restricted to use under the supervision of a licensed health care professional. Bruno Male Enhancement Refund Policy If you have a sexual issue, see a certified sex therapist, and follow their guidance. No rigorous studies on their safety and efficacy have been conducted. Making changes to your lifestyle, getting counseling or therapy, or talking things through with your partner may result in significant improvements without the need for pills. Although there is still limited data on maca’s use in human trials, Shin et al. conducted a systematic review of the literature to identify studies evaluating maca’s effects on humans. 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