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Explain to your health care provider about the challenge as shortly as attainable. If you have a affliction that might end result in extended-long lasting erections, these kinds of as sickle cell anemia, various myeloma (a condition of the bone marrow), or leukemia, use Nizagara with caution. Permanent destruction and impotence could result. If you have a bleeding dysfunction, a belly ulcer, or the inherited eye issue regarded as retinitis pigmentosa, use Nizagara with warning.

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