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The McCafe Blueberry Pomegranate Smoothie is a perfect blend of blueberries and raspberries, mixed with pomegranate juice, low-fat yogurt and ice. Sildenafil, the active ingredient in the erection enhancer Viagra, is more effective when combined with pomegranate.
This is what the three men [aged 46, 35 and 27] in the Urology Annals publications had done. The 46-year-old had taken 50 mg Viagra every other day, which gave him an erection that allowed him to have sex. That was the sensible thing to do, as a priapism can damage the erectile tissue chambers, causing permanent impotence.

The doctors have two theories about the way in which Viagra and pomegranate have a mutually reinforcing effect on each other. But sometimes the combination works a little too well, say doctors at the Sri Gokulam Hospitals and Research Institute in Tamil Nadu, India. His erection disappeared almost immediately after orgasm, so an herbalist had advised him to drink 200 ml pomegranate juice every day. The doctors relieved the men of their painful condition by administering injections of adrenalin or the adrenalin-like terbutaline into the penis.
One is that the bioactive ingredients in pomegranate juice block the enzymes CYP3A4 and CYP2C9.
They describe in Urology Annals cases of three men for whom the combination of Viagra and pomegranate led to an almost permanent erection.

They had also heard about pomegranate juice from an herbalist, so decided to try it with Viagra.
After walking around with an erection for five hours (the 46-year-old) or eight hours (the other men) they went to hospital. Another – and we’re more inclined to go with this one – is that the erection-enhancing effects of pomegranate and Viagra reinforce each other. Animal studies have also shown that pomegranate juice enhances the production of sperm cells and testosterone levels.

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