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It's essential to consider these factors and shop around for the best value for your needs. Nitric oxide stimulates the production of a chemical called cyclic guanosine monophosphate (cGMP). CGMP is essential for maintaining the relaxed state of the smooth muscles, allowing blood flow to continue and sustaining the erection. However, in men with ED, this process is often disrupted, hindering the ability to achieve and maintain an erection. While some natural supplements claim to improve erectile function, they are not as well-studied or regulated as prescription medications like Levitra. The standard recommended dose of Levitra is 20mg, taken orally with water about minutes before sexual activity. However, depending on individual tolerance and response, the dosage may be adjusted.
Today, she continues her work through medical writing, focusing on sexual minority women’s health and care for survivors of trauma. Dr. Mandy Leideman offers telehealth services and chronic care consultations to patients, whether insured or uninsured. With 30+ years of experience in general practice, she now focuses on long-term care and chronic disease prevention.