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Malegra 25 mg, which contains the active ingredient Sildenafil, is primarily used to treat erectile dysfunction. It is not commonly associated with causing anemia as a side effect. Malegra 25 mg works by increasing blood flow to specific areas of the body, and its primary side effects typically involve headaches, flushing, and digestive issues. However, if you have any underlying health conditions or are taking other medications, it's always a good idea to consult with your healthcare provider. They can provide personalized advice and ensure that any new medication is safe for you. If you're experiencing symptoms that concern you, such as unusual fatigue or weakness, it would be wise to discuss these with your doctor to rule out anemia or other potential issues.