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In the majority of cases (757 of 776 (97.6%)), supplements contained ingredients that were not declared on the label. A large number of DSs containing different ingredients have been proposed for the treatment of male sexual dysfunction. Herbal extracts have been used by various traditional medicine systems (Chinese, Indian, etc.) for the treatment of ED and the improvement of sexual health. These three ingredients were used in more than 90% of the formulations, whereas each of the remaining EIs was found in less than 5% of the products. Formulated with ingredients such as Fenugreek and Tribulus which have been widely used over the years to aid natural testosterone production. Meanwhile, the inclusion of shilajit helps in managing stress, a common factor that can negatively affect testosterone levels. Both are designed to help men over 30 maintain optimal testosterone levels, improve muscle growth, and boost overall vitality. 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