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Your reports are usual (attachments removed to preserve patients identity), so, no need to worry.
I suggest you go for 30 minutes of brisk walking in an open space (garden, park, roadside) with sunlight exposure (evening or morning times) to correct your vitamin D and cholesterol issues. No drugs are required for that. I suggest you take more garlic to correct cholesterol issues in the food. In addition, I suggest you stop using Viagra (Sildenafil), as it is unnecessary for an average healthy person.
I suggest you follow these medicines for the next three months. Soak groundnut or chick pea in water for 12 hours (at night). Then, the following day, wash it and eat after chewing with teeth. It can be taken as a morning snack or evening snack. Tablet Thathu Kattu Mathirai (composed of Almond gum, Moringa gum, and Arabic gum) 200, twice every morning and night after food. It will take care of your erection-related issues. One piece of advice is, the lesser the sex activity, the higher the effect. So, reduce the frequency of sexual activity, including masturbation. I also suggest you do one semen analysis. Then, if something goes wrong, we can correct it. If you have any doubt, contact me anytime.