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According http://doctor-robert.com alcohol affects the central nervous system which, therefore, can’t regulate the release of nitric oxide. As a result, a man is not able to keep or even get an erection. Moderate alcohol consumption is the best way to avoid such a frustrating situation. Keep Weight Off  Excess weight is an enemy of a hard-rock erection. Obesity is often a symptom of testosterone deficiency which causes the impairment of sexual function. Besides, obesity is associated with high blood pressure and other heart diseases which also make it impossible to achieve sexual satisfaction. Thus, strength training and well-balanced diet are the most effective options to keep your weight off and, hence, fight erectile dysfunction.

Does it make any difference which of the four ED drug on the market you take? "Yes, there can be differences," says Dr. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance in Boston. "For new patients, I have them try different ones to see what works best." Sildenafil (Viagra) is often the first drug your doctor offers. It's been on the market longest and its side effects and the medications and foods it interacts with are well known. The latest drug to be approved, avanafil (Stendra), may have fewer side effects than the other drugs. But the main challenge to finding the best ED drug for you may turn out to be health insurance rules—not biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month. After you hit your limit, the out-of-pocket cost for a single pill can be as high as $20. "The main obstacle in my practice is the cost," Dr. Liou says. You'll need to work with your doctor to get the pill you need at a price you can afford.