Heart or circulation problems Stroke Blood pressure problems Blood cell problems such as sickle cell anemia Bleeding problems Kidney problems Liver problems Eye problems such as retinitis pigmentosa or severe vision loss Stomach ulcers Deformed penis shape or A history of prolonged 4 hours erections Any medical condition that may make ***ual activity potentially hazardous History of alcohol abuse All medications, over-the-counter medications, supplements, and remedies being taken

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