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The inclusion of the testosterone fractions and binding proteins were deemed important since only ∼2% is “free” testosterone, with the remaining testosterone “bound” to proteins (predominantly SHBG, ∼40–45%) (31–33) and controversy existing regarding the relative importance of “bound” and “unbound” testosterone (34). Furthermore, counterfeit PDE-5i often contain improper dosing and contaminants that may place patients at direct risk. Patients embarrassed by their condition or seeking less expensive alternatives to legitimate pharmaceuticals have fueled the market, and the growth of Internet pharmaceuticals have made counterfeit pharmaceuticals easy to obtain. As the population ages, and the market for PDE-5i grow, so does the illicit market for PDE-5i. The preference questionnaire would increase memory interference, which is desirable for ecological validity as women asked to recall a former partner’s penis size may have sex with other new partners in the delay. 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