T h e r a p e u t i c I n d e x 253 Tentex Royal® (capsule) 5. Other beneficial activities: Adrenergic, cholinergic, and vasoactive intestinal polypeptidergic (VIPergic) nerves in the penis are affected in diabetes mellitus, and thus, may contribute to the development of ED in diabetic patients. Tribulus terrestris has acetylcholinesterase-inhibitory activity, and thus supports in managing ED in diabetic patients. The antihypertensive action of Tribulus terrestris helps in managing ED in patients with a history of hypertension.
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