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High reps and heavy weights chase adaptation just through different stress signals

Heavy weights build strength first high reps build fatigue tolerance and volume capacity

PDE5 inhibitors act peripherally by increasing blood flow to the penis

Viagra improves erections PT 141 may improve libido desire more than erections

Muscle doesn’t count reps it responds to tension and effort

Heavy work teaches the nervous system high reps teach the muscle to endure

PT-141 does not rely on nitric oxide mediated vasodilation like PDE5 drugs do

Viagra’s effectiveness for ED is well established with large clinical evidence

Same goal growth different paths mechanical tension vs metabolic stress

Heavy sets make you stronger high rep sets make you tougher

PT-141’s research in men is smaller and less definitive than for PDE5 drugs

PT 141 doesn’t require sexual stimulation to potentially affect desire

Both work misusing either is the problem

Heavy weights are efficient high reps are exhaustive

If ED is due to vascular issues PDE5 drugs are generally more effective