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Metformin should be taken with meals (typically with breakfast and dinner for twice-daily dosing, or with the evening meal for extended-release formulations)...

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Men were excluded if they had a prior erectile dysfunction diagnosis, any phosphodiesterase-5 inhibitors prescription, intracavernosal injections, penile prosthesis placement, history of testosterone deficiency, testosterone prescription, pelvic radiation, radical prostatectomy, pulmonary hypertension, or were deceased
