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Application effects of Qianlieshutong capsules and α-lipoic acid in type 2 diabetic middle-and-old-aged patients with erectile dysfunction. The effect of Qianlieshutong capsule combined α- lipoic acid on serum homocysteine, nitric oxide and oxidative stress products in middle-aged and elderly patients with erectile dysfunction in type 2 diabetes mellitus. Another study demonstrated that Ziyin Zhuangyang capsule and sildenafil have obvious synergistic effects in alleviating DED and can improve the sexual self-confidence and life quality of patients (Yang and Dai, 2017). This article aims to provide the latest evidence for the efficacy and safety of traditional Chinese medicine (TCM) combined with tadalafil in treatment of erectile dysfunction. Q:Does Taking Male Enhancement Pills Cause Hair LossA:Testosterone levels peak in adolescence and decline by about one percent per year thereafter, leading to symptoms like reduced muscle mass, energy issues and erectile dysfunction in men. 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