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[DOI] [PMC free article] [PubMed] [Google Scholar] 45.Ziats MN, Comeaux MS, Yang Y, Scaglia F, Elsea SH, Sun Q, Beaudet AL, Schaaf CP

This study aimed to investigate the combined effects of Panax ginseng , Tribulus terrestris , and L-arginine under the brand name of Highsense (Barij-Essence Pharmaceutical Company), on the quality of erection in patients with ED using the 5-item version of the IIEF-5 questionnaire (IRC in Iran = 2421155422024155)

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Serum HDL cholesterol levels significantly decreased ( p = 0.001), total cholesterol remained unchanged, and a notable rise in LDL cholesterol was observed ( p = 0.005) [56]