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Kloner RA, Zusman RM "Cardiovascular effects of sildenafil citrate and recommendations for its use. " Am J Cardiol 84 (1999): n11-7. Khandheria BK "Erection, erectile dysfunction: what has heart herb alternative for viagra to do with it?" Herz 28 (2003): 275-6. Dunn N "Cardiovascular events in users of sildenafil - Paper does not provide any reassurance. " Br Med J 323 (2001): 50-1. Zusman RM "Cardiovascular data on sildenafil citrate - Introduction. " Am J Cardiol 83 (1999): alterhative.

Jimmie Thomas, yoga instructor extraordinaire, began teaching yoga in 2004 in the courtroom of City Hall. The classes recently relocated to Library Hall.

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This fast action means that the drug is more spontaneous than Viagra, says Dr Wallace Dinsmore of the Royal Victoria Hospital in Belfast, which can make a difference to some men. Men who find erectile dysfunction frustrating, embarrassing and hard to talk about, says Dr Dinsmore, may abstain from sex rather than admit to having a problem. Wives and girlfriends often don't realise there is a physical problem and assume their partners are having an affair or have lost interest. Viagra and Uprima don't work unless there is some sexual stimulation there to start with, so they are best used by people who do feel sexually stimulated but have erection problems rather than those who suffer from a low libido. Although impotence can be a cause of low libido in itself because of self confidence problems.

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