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I take 5mg of Cialis daily, and started having some issues, but read something on Saw Palmetto. Started taking 160mg 2 x daily, and can't believe the difference. If for some reason I miss a day, it never fails around 5 o'clock when I try to urinate I have a hard time, and I get a burning sensation. Additionally, I'll wake up at night with the frequent need to pee.  Now I always try to get it in around 1pm, & 11pm..