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A blank copy of the survey is available in Sharp et al.13 The survey was completed anonymously and included demographic details and motivations for considering penile augmentation, and the SDQ, BDDQ, K10, RSES, and BIQLI. Consenting patients were assigned a unique study identification number and were sent a weblink to an online survey containing the baseline validated measures and then another weblink approximately 6 months postprocedure. Patients who completed the consent form were contacted by research staff independent of the clinic to provide more detailed information in verbal and written formats, and another consent form to participate in the study itself. The Body Image Quality of Life Inventory (BIQLI) is a 19-item self-report scale measuring the impact of body image concerns on a broad range of life domains such as social functioning, sexuality, and emotional well-being.37 Items are rated on a 7-point scale from very positive impact on one’s life (+3), no impact (0), through to a very negative impact (−3). Good product 💯 Good performance 😄👍 Good quality 😀 Hasn’t replied to negative reviews While we don't verify specific claims because reviewers' opinions are their own, we may label reviews as "Verified" when we can confirm a business interaction took place. Concomitant use of sex pills with high blood pressure and heart meds can lead to a stroke or even death . The types of chemicals found in these medications are making it harder for regulatory authorities to track them down. 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