Also called "milking", the technique has ancient Arab origins. Despite many anecdotal reports of success, medical evidence is absent. Journalists have dismissed the method as biologically implausible, or even impossible, albeit unlikely to seriously damage the penis. Some of the most commonly used Savage Grow Plus include horny goat weed, ginseng, DHEA, Ginkgo biloba, fenugreek and maca, the researchers found.

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"In addition, because of concerns that some products are impure or weak, we do not routinely recommend these products to our patients," he added. When Boyle's patients come to her with bottles of herbal supplements, she tells them she cannot vouch for their safety or effectiveness unless the FDA has reviewed the claims on the label. Many doctors question whether the benefits of lengthening surgery outweigh the risks.

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