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Physical causes First up, there are a bunch of physical reasons and conditions that might impact your ability to hold an erection, including: High cholesterol High blood pressure Side effects of certain medications Smoking cigarettes and e-cigarettes Alcohol and substance use Low testosterone levels Psychological causes The brain can play some serious tricks on your mind and body

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I haven't received an Oscar nomination but my bit was at least as funny as Bill Murray's in Coffee & Cigarettes

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