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    Many men believe "herbal Viagra" to be safer or more natural than the pharmaceutical version. But "natural" supplements -- which aren't regulated for safety or purity -- sometimes contain pharmaceuticals. This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information. To find the most current information, please enter your topic of interest into our search box. 6, 2004 -- Men with low testosterone levels who suffer from erectile dysfunction and have tried Viagra without success may benefit from adding a testosterone gel to their impotence treatment plan. Nearly 30% to 50% of men with erectile dysfunction who take Viagra don't respond adequately to treatment. The reason could be low levels of the sex hormone testosterone, according to a new study published in the Journal of Urology. Low levels of the hormone could lead to a low sex drive and erectile dysfunction, depression, fatigue, and osteoporosis in men. The study tracked 75 men aged 18-80 years old with low levels of testosterone and erectile dysfunction. All the men were in stable, heterosexual relationships and had failed to respond to treatment with 100 milligrams of Viagra.

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