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I strongly advise against combining L-Arginine with PDE5 inhibitors like Viagra or Cialis without direct medical supervision

Microbiology 156:34563468 Kadam SR, den Besten HM, van der Veen S, Zwietering MH, Moezelaar R, Abee T (2013) Diversity assessment of Listeria monocytogenes biofilm formation: impact of growth condition, serotype and strain origin

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Background: Spinocerebellar ataxia type 3 (SCA3) is a progressive neurodegenerative disease caused by a CAG repeat expansion in the exon 10 ATXN3 gene