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: This has established to generally be Among the most strong ingredients inside the male enhancement field. A study in 2008 identified that tribulus terrestris enhanced sexual overall performance, whilst also decreasing enough time concerning ejaculations. This text requirements Xymax Male Enhancement or greater citations for verification. Remember to support make improvements to this information by introducing citations to trustworthy resources. Unsourced content may be challenged and taken out. (March 2010) (Learn the way and when to eliminate this template message) Atherosclerosis, a situation where fatty deposits Establish up within arteries, may possibly restrict blood movement for the penis and induce erection challenges. "The small blood vessels that go to the penis can become diseased Considerably previously than the [larger sized] vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins Faculty of Medication, tells WebMD. 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