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Treatment of men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Aggra to be effective, sexual stimulation is required. Aggra is also indicated in pulmonary arterial hypertension. Aggra is a selective, reversible inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). When sexual stimulation causes the local release of nitric oxide; inhibition of PDE5 by Aggra produces increased levels of cGMP in the corpus cavernosum. This results in smooth muscle relaxation and inflow of blood into the penile tissues, thereby producing an erection. Aggra has no effect in the absence of sexual stimulation. Mechanism of Action: The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum, but enhances the effect of nitric oxide (NO) by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by Sildenafil causes increased levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum. Sildenafil at recommended doses has no effect in the absence of sexual stimulation. Pharmacokinetics and Metabolism: Sildenafil is rapidly absorbed after oral administration, with a mean absolute bioavailability of 41% (range 25-63%). It is eliminated predominantly by hepatic metabolism (mainly cytochrome P450 3A4) and is converted to an active metabolite with properties similar to the parent, Sildenafil. Both Sildenafil and the metabolite have terminal half lives of about 4 hours. Absorption and Distribution: Sildenafil is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state. When Sildenafil is taken with a high fat meal, the rate of absorption is reduced. Metabolism and Excretion: Sildenafil is cleared by hepatic microsomal isoenzymes. After either oral or intravenous administration, Sildenafil is excreted as metabolites predominantly in the feces (approximately 80% of administered oral dose) and to a lesser extent in the urine (approximately 13% of the administered oral dose). Pharmacokinetics in Special Populations: Geriatrics: Healthy elderly volunteers (65 years or over) had a reduced clearance of Sildenafil, resulting in approximately 84% and 107% higher plasma AUC values of Sildenafil compared to those seen in healthy younger volunteers. ###Pharmacist Ahamadullah ### ###Aggra 100###
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According to a recent study, population-wide testosterone levels in men aged 15 to 39 have decreased by a staggering 25% in just 15 years. This has led to the increased use of prescription testosterone injections or gels as a form of testosterone replacement therapy (TRT). TRT has increased four-fold in men aged 18–45 years and three-fold in older men in recent years. In this eye-opening episode, Dr. Josh Axe delves into the controversial topic of TRT, exploring the reasons behind the alarming decline in testosterone levels leading to young men flocking to TRT, the potential side effects of TRT, and natural ways to boost your testosterone without resorting to synthetic hormones. You’ll learn: * How testosterone replacement therapy works in the body * The shocking truth about TRT's impact on male fertility and the risk of permanent infertility * Potential dangers and side effects of TRT * Natural alternatives to testosterone replacement therapy * Cutting-edge peptide therapy as an alternative to TRT Tune in to this informative episode and empower yourself with knowledge to make informed decisions about your testosterone levels and overall health. -------------------- Links: https://honehealth.com/edge/health/trt-side-effects/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305868/ https://www.youtube.com/watch?v=hXHBlEZUX48 https://muscleandbrawn.com/testosterone/peptides-vs-trt/ https://www.youtube.com/watch?v=zU5EYw06wtw https://pubmed.ncbi.nlm.nih.gov/32081788/ https://testosteronedecline.com/testosterone-levels-100-years-ago/ https://www.healthline.com/nutrition/8-ways-to-boost-testosterone https://www.va.gov/WHOLEHEALTHLIBRARY/tools/improving-low-testosterone-naturally.asp -------------------- ABOUT DR. JOSH AXE Dr. Josh Axe is a leadership expert, entrepreneur, and physician. He earned his doctorate from Palmer College and his Master of Science in Organizational Leadership from Johns Hopkins University. Josh is the cofounder and CVO of Ancient Nutrition and founder of DrAxe.com. His company ranked on the Inc. 500 fastest growing companies two years in a row. He is the bestselling author of Eat Dirt, Keto Diet, and Ancient Remedies. Josh is the founder of Leaders.com, an online platform that provides the latest on breaking news, leadership, business, and wealth. He regularly teaches lectures and trains entrepreneurs on leadership, mindset, and self- development. Josh is married to his wife, Chelsea, and they have two daughters. They live between Nashville, TN and Dorado, PR and enjoy cooking, staying active swimming and cycling, and prioritize time for their faith and family. His latest book, Think This Not That, is now available nationwide. -------------------- ➕ CONNECT WITH DR. JOSH AXE Like on Facebook → facebook.com/drjoshaxe/ Follow on Instagram → instagram.com/drjoshaxe/ Follow on Twitter → twitter.com/drjoshaxe/ Follow on TikTok → tiktok.com/@drjoshaxe/ ➕ CONNECT WITH LEADERS Like on Facebook → facebook.com/LeadersNewsMedia/ Follow on Instagram → instagram.com/leaders.ig/ Follow on Twitter → twitter.com/realleadersnews/ Email Newsletter → leaders.com/ -------------------- DISCLAIMER This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
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