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How are erectile dysfunction and heart problems linked? In the past, the buildup of plaques in the arteries of your body (atherosclerosis) was believed to be the reason why erectile dysfunction often precedes heart problems. The idea was that plaque buildup reduces blood flow in the penis, making an erection difficult.
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Erectile dysfunction — the inability to get or maintain an erection firm enough for sex — is common in men who have diabetes, especially those with type 2 diabetes. It can stem from damage to nerves and blood vessels caused by poor long-term blood sugar control.
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Do not take Viagra more than once daily. The usual recommended dosage is 50mg (range 25mg to 100mg), taken when needed, an hour before sexual activity. However, it may be taken anywhere from 30 minutes to four hours before sexual activity.