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It can also be due to physical causes, such as diabetes, high blood pressure, thyroid problems or prostate disease. About Cialis 20mg If 10mg doesn’t work the dose can be doubled to the ‘maximum daily dose’ in the UK of 20mg. Premature ejaculation can be caused by psychological factors such as stress, depression, relationship issues or performance-related anxiety. This dose is normally only recommended if you tried the 10mg dose and you didn’t see the effect you wanted, and you also didn’t get any side effects.


 
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