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Treatment of hypogonadal men with testosterone results in improvement in overall physical performance as well as strength as assessed by, eg, hand grip power (Page 2005). Testosterone retains nitrogen and is an essential ingredient in the development and maintenance of muscle mass (Sinha-Hikim et al 2006). The participants of the preliminary survey who correctly answered the trap question were eligible to go on to the actual survey, where details about supplement use were asked. The trap question was “Have you used a supplement for revitalization purpose? The adverse effects of PDE5i are mostly mild with the occurrence reported to be 37.31% compared with 24.03% for placebo, but serious and fatal symptoms have also been reported in 1.05% to 1.85% of men treated with PDE5i [7,8]. 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