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If you're over forty you know we can't exactly party like we used to and won't be so quick to put something questionable into your body, especially when sexual performance is on the line. This protrusion can put pressure on a nearby nerve and cause pain (refer to the separate leaflet on �Prolapsed Disc�). However, you should stay in watch for several side effects which can indeed cause harm to your normal life. You should try to stay fit with cardio and weight (resistance) training. Cigarette smoking. Smoking is the arteries harden and narrow and reduces blood flow to the legs. The daily pill stays effective in between doses, but may take 4 to 5 days before it begins working. When pain medication is necessary, it would be better to take them on a regular basis rather than intermittently as needed. Lying prone on a flat surface can sometimes ease symptoms, but any movement of the back, like a cough or a sneeze can exacerbate the pain. 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