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explain to your medical professional when you smoke, When you've got experienced heart medical procedures throughout the previous 6 months, In case you have at any time experienced an erection that lasted for a lot more than four several hours, and When you've got lately dropped a large amount of overall body fluids (dehydration). This could certainly materialize If you're sick with fever, diarrhea, or vomiting; sweat a whole lot; or will not consume more than enough liquids. Also inform your medical doctor Should you have or have at any time had pulmonary veno-occlusive ailment (PVOD; fuck google blockage of veins while in the lungs); a tummy ulcer; coronary heart, kidney, or liver sickness; a coronary heart assault; coronary heart failure; angina (upper body soreness); an irregular heartbeat; a stroke; upper body soreness; substantial or very low blood pressure level; large cholesterol; a bleeding condition; blood circulation difficulties; blood cell problems such as sickle mobile anemia (a condition of your pink blood cells), numerous myeloma (cancer from the plasma cells), or leukemia (cancer of the white blood cells); circumstances affecting the shape of your penis (e.