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Although 6 of the 7 RCTs reported statistically significant improvements in erectile function, the included studies utilized different doses, supplementation regimens, and heterogenous study populations[16–19]. We will only include studies which interventions involved traditional Chinese herbal medicine treatments. One of the most well-known herbs for ED is ginseng, which has been used in traditional Chinese medicine (TCM) for centuries. While modern science has validated some of these remedies, their historical use provides insight into the natural foundations of ED treatment. Similarly, fenugreek seeds, rich in phytoestrogens, have been linked to enhanced sexual desire and performance in clinical trials. For example, L-arginine, an amino acid, is known to promote nitric oxide production, which relaxes blood vessels and improves circulation. One of the primary mechanisms behind ED is impaired blood flow to the penile tissues, often due to vascular dysfunction or hormonal imbalances. 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