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Do not take the following medications within 18 hours of an injection (before or after):MedicationDoseSildenafil (Viagra)20 mg to 100 mgVardenafil (Levitra)10 mg to 20 mgAvanafil (Stendra)50 mg to 200 mg Do not inject within 72 hours (3 days) of taking tadalafil (Cialis) 10 mg or 20 mg

Vitamin B12 is essential for energy, brain function and reduce fantigue blood cell production

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any use involving bodily introduction (injection/ingestion) is strictly prohibited and violates federal compliance protocols

These effects can include: abdominal pain chest pain cough dizziness eye pain irregular heartbeat ringing in the ears weight gain While some of these effects are merely uncomfortable, others are cause for concern