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FDA has identified an emerging trend where over-the-counter products, frequently represented as dietary supplements, contain hidden active ingredients that could be harmful. Consumers may unknowingly take products laced with varying quantities of approved prescription drug ingredients, controlled substances, and untested and unstudied pharmaceutically active ingredients. These deceptive products can harm you! Hidden ingredients are increasingly becoming a problem in products promoted for sexual enhancement.
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Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it.[2][4] Medical doctors do treat micropenis as a medical condition, however, usually by surgery, which can be warranted to improve urinary or sexual function.[5] Most men seeking penis enlargement have normal-size penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average size.[5]

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In an offshoot to the FDA crackdown on “male enhancement” pills, an FDA advisory panel concluded Sept. 17 that testosterone replacement therapies should be reserved for men with specific medical conditions that impair testicle function. Prescriptions for "Low T" — as low testosterone is typically described in TV commercials — have surged in recent years as middle-aged men seek to stall the natural effects of aging.
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
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