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Sildalist Strong 140 mg is a combination medication containing sildenafil citrate and tadalafil, which are primarily used to treat erectile dysfunction. These medications work by increasing blood flow to the penis during sexual stimulation. As for their effect on testosterone levels, there's limited direct evidence suggesting that Sildalist Strong 140 mg or tadalafil affect testosterone levels. However, since they primarily target blood flow and smooth muscle relaxation, they typically don't directly impact hormone levels like testosterone. Testosterone levels are more influenced by factors such as age, health conditions, medications affecting the endocrine system, and lifestyle factors like diet and exercise. If you have concerns about testosterone levels or the effects of Sildalist Strong 140 mg on hormone balance, it's best to consult with a healthcare professional who can provide personalized advice based on your medical history and current health status.