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Aside from this, nitric oxide also widens and relaxes the blood vessels in the penis to accommodate more blood, resulting in a larger and harder penis during an erection. Studies have also shown that excessive alcohol consumption can cause atherosclerosis, hardening of the arteries and damage to the inner lining of the blood vessels. Many clinics also market supplements specifically for erectile dysfunction or low testosterone, but it s important to know there s not much research behind their effectiveness, Dr Patel says. There are a variety of key functional lab markers we can look at to determine your risk and uncover underlying root causes of erectile dysfunction. This drug has a similar chemical structure to sildenafil citrate and works in a similar manner.