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The PSZ said the label claims that the drink 'contains natural extracts of ginger and tongkat ali, a well-known aphrodisiac, and testosterone booster as the main ingredients'. There are four main instructions - just tablets that are used to handle erectile dysfunction in youth. Conclusions and Relevance Bilateral CRAO secondary to SCD is extremely rare, with only 1 previous case report in the literature. Observations A 37-year-old African American woman with a known medical history significant for SCD and pulmonary arterial hypertension who was receiving treatment with tadalafil, a phosphodiesterase 5 inhibitor, developed bilateral, concurrent CRAO that persisted after exchange transfusion.

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