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They wanted to provide urologists with a guide for counseling patients who present with sexual health issues and who are taking supplements.

"The solution is most likely a discussion with your physician about whether there are alternatives to your medicine that will help," says Josephine Briggs, MD, director of the National Center for Complementary and Integrative Health.

L-arginine is the top amino acid in men's health nutritional supplements, including in 1 in 3 best sellers. It may improve erectile function in some patients and looks relatively secure. It has been associated with a drop in blood pressure but without significantly changing the heart rate

Horny Goat Weed is normally safe with rare reports of toxicity leading to fast heart rate and hypomania; it's no apparent benefit for sexual function.

Be careful, though. Very high doses can harm your liver and cause heart, blood pressure, and urinary issues.

For Men and Women Remember that the FDA does not require supplements to prove they are secure, effective, or contain what they say on the label. You might want to look for a seal of approval from groups that check on supplement ingredients.

Too much iron is bad for you. Over 20 milligrams of iron per day can cause constipation and other sorts of stomach upset. More than 60 mg at once can be life-threatening.

The findings on some of the best selling products can be outlined as follows:

Ginseng is the most common ingredient in top-selling men's health supplements; it can cause headache, upset stomach, constipation, rash and sleeplessness. It can also lower blood glucose, risky in cases of diabetes SAM-e: Depression can damage your sex life. Treatment (treatment, exercise, and, for many people, medication) can help. But some antidepressants may lower your libido, too. The majority of the focus about sex and nutritional supplements focuses on guys. But what might work for a guy doesn't necessarily work for a girl, Fugh-Berman says. Both sexes have options.


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