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The Roman Pharmacy Network is able to fill prescriptions for sildenafil 20 mg tablets that are issued by a Roman-affiliated physician. Does Roman Offer Genuine Viagra? Roman also offers sildenafil in 20 mg tablets, which can be prescribed by doctors off-label to treat ED in doses ranging between 20 mg and 100 mg if they find it medically appropriate to do so.

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How Does Viagra Work? Erotic stimulation by physical touch, erotic thoughts, smells, etc causes the local tissues to release nitric oxide NO, which increases the amount of a chemical called cyclic guanosine monophosphate cGMP.

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An enzyme called phosphodiesterase-5 breaks down cGMP leading the penis to return to its flaccid state. An enzyme called phosphodiesterase-5 breaks down cGMP leading the penis to return to its flaccid state.


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