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Below is a quick summary of the differences between Tadalafil and Sildenafil: Clinical studies show that 86% of men using Tadalafil 20 mg reported improved erections, compared to only 44% in the placebo group.(Source)

Gratzke, C

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There is also a compensatory increase in glucagon secretion, which can cause an acute rebound hyperglycaemia if treatment is missed or stopped [35, 36]