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First off you have a great group here! I am 56 and married for 36 years and trying to be in top health. I am on a full set of hormone replacement program and had added Tadalafil from US compounder. I loved the way it made me feel and the erections were much better but after I got through the muscle aches the heart rate shot up 10-20 points. I see where Nelson said he cannot take it. I am jealous how Gene and others take a stack that would about kill me. Do i just get by with less quality of erections and mild BPH? or is there something else out there? Thank you guys!