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Malegra 100 is not an FDA-approved medication and is not available for sale in the United States. Malegra contains sildenafil citrate, which is the same active ingredient found in the prescription medication sildenafil, and is regulated as a prescription medication in the United States.In order to legally sell and distribute medications in the United States, pharmaceutical companies must obtain approval from the FDA. The FDA approval process involves rigorous testing and evaluation of the medication's safety and efficacy. If a medication is not approved by the FDA, it cannot be sold or distributed in the United 

. https://en.wikipedia.org/wiki/Ejaculatory_duct


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