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The model takes into account factors including the age of a rating, whether the ratings are from verified purchasers and factors that establish reviewer trustworthiness. While many marketers are in steep competition to capture a share of this lucrative business, one has managed to rise above the others, with its ubiquitous Prime EXT Male Enhancement ads. This marketer has capitalized on the current thinking that an unproven dietary supplement can easily cure or treat a serious medical condition such as impotence. Early ads promised that Enzyte would add as much as three inches to the length of the user's penis.

Enzyte contains many ingredients, none of which is FDA-proven to be safe or effective in accomplishing its advertised purposes. However, the passage of the 1994 Dietary Supplement Health and Education Act, championed by Utah's Orrin Hatch, allowed manufacturers to market products without FDA approval of safety and efficacy. Surgical penis enlargement methods can be effective; however, such methods carry risks of complications and are not medically indicated except in cases involving a micropenis. Exercise is a great way to reduce stress and improve your health. Psychological stress can also affect achieving an erection or reaching an orgasm.

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