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In a 2022 randomized trial of 300 mg standardized extract taken twice daily, men aged 40–60 experienced a 12 % rise in total testosterone and modest improvements in sexual desire. Eventhough views based on such purely intuitive aspects of tradition,naturalness, or directness often rely on cognitive biases rather thanrational argument,191 a negative socialperception for whatever reason might generate indirect psychologicalcosts for users, which in turn might influence also rational evaluationsof the respective enhancement intervention.192 Largely independent from their specific enhancingeffects on differentcognitive capacities, social acceptance of cognitive enhancement interventionsdiffers strongly depending on traditions, their perceived naturalness,and the perceived directness of their mode of action. Besides practical hurdles to the acquisitionof illicit drugs for cognitive enhancement, the legal status appearsto affect the motivation of users to decide which cognitive enhancersto take.166 Brain-stimulation methods,by contrast, fall under medical device regulations, pertaining tobasic safety standards in terms but not proscribing the uses to whichthey might be put.177,178 Behavioral strategies are usuallynot regulated at all. Related to the time scale dimension, side effects of short- vslong-term use of cognitive enhancers can be differentiated. Dietary Changes To Boost Testosterone The information on this Site is for informational purposes only and is not intended or recommended as a substitute for professional medical advice. Herbal supplements and exercises are also popular alternatives to surgery, as they are often more affordable and less risky. It is also worth noting that there are potential side effects of the surgery such as infection, scarring, and loss of sensation. 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