High-GI fruits such as watermelon and dried dates may cause sharper spikes, potentially undermining treatment goals
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Modest weight loss may be seen within the first few weeks (around 1% of body weight per week in early stages), with more significant results becoming apparent after 2-3 months as doses are titrated up
Reduces pigmentation, dark spots, and freckles
Our initial hypothesis was confirmed in our prospective, randomized, multicenter study including 300 patients: combination therapy with tadalafil plus L-arginine worked synergistically determining greater improvements than monotherapy in the IIEF-EF score (Table 2)