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(9) Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels more than two times the upper limit of normal; a creatinine level more than two times the upper limit of normal. (7) Active testosterone replacement therapy for hypogonadism, with a stable treatment duration of less than 3 months. (7) At least 4 attempts at sexual intercourse were made during the introduction period (From Visit 1 to Visit 2, 4 weeks), and the IIEF-EF special score for visit 2 was 11–25 (17–25 points for mild, 11–16 points for moderate, and ≤ 10 points for severe). (6) The patient agrees to make at least 4 attempts at sexual intercourse every 4 weeks during the trial period. If you’re aiming for a steamy evening, it’s important to remember the power of foreplay, as well as good lubes and ointments. DR. KAVALER IS glad that more ED pills are available at lower prices, but she also worries that the pills can tempt guys into thinking of sex is only about intercourse. 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