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Elevated serum ferritin levels may indicate inflammation, liver disease, autoimmune disease, or even cancer. Presuming an erection is possible, having a bent penis can make a man feel self conscious and apprehensive about having sex. You should not take Viagra if you are not healthy enough for sex, or if you are on nitrates or guanylate cyclase stimulators, such as riociguat. Most people also get fatigued from time to time, feel weak from time to time, lose their voice occasionally, etc. Scientists evaluated 3,682 adults over a 10 year period.