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To evaluate the efficacy of condition concealment over the study, participantswere asked at the completion of each phase of the study to predict conditionallocation (i.e., placebo, ashwagandha, or uncertain). Ashwagandha was welltolerated with no significant differences in reported adverse events betweenplacebo and active drug treatment groups. Mean salivary hormone levels during each crossover period are detailed inTable 3 andFigure 3. Most of the sexual parameters as well as testosterone levels were significantly lower in subjects with diabetes mellitus and smoking habit than in those without, whereas no difference was noticed between subjects with and without dyslipidemia and hypertension (Table 3). Erectile function improved, whereas other sexual parameters did not change significantly (Table 1). After vitamin D replacement therapy, total and free testosterone increased. Clinical, hormonal, and sexual parameters of the total sample are shown in Table 1. 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