Health
The simple backyard mistake that could put your family pets at risk this fall
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Dear Doctor: What you need to know about ED medication side effects
Victor Alvarez
Victor Alvarez
Senior Reporter · Cleveland, OH
Victor brings a decade of experience in business journalism, having previously reported for Crain's Cleveland Business. He holds an MBA from Case Western Reserve University and focuses on the economic impact of local enterprises. His thorough analysis provides insights into Cleveland's ever-changing business landscape.
More from Victor →Senior Reporter · Thursday, November 12, 2026 at 12:00 PM · 1 min read
Dear Doctor Roach: I’m a 61-year-old man who is in very good health and works out regularly. I’ve begun to experience minor erectile dysfunction (ED). My general practitioner prescribed tadalafil (Cialis) at 20 mg. After the second dose (in a span of five days), I began to experience severe pain in the back of my legs and glutes.
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