“I take 20 mg Cialis pill and it works as expected but after sexual intercourse I sometimes feel muscle pain in the back and fatigue. I do not know if this is because I work like a stud or it is a side effect. Anyway I am lucky that I gave it a try.”

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Some people who need urgent help appear to be staying away, as in the first peak, say researchers.

Services and waiting times must improve at the NHS's child gender-identity service, inspectors say.

The vaccines will be offered to existing high-priority groups and hospital staff on nightshifts.

The BBC's James Cook returns to Monklands Hospital eight months on to find the staff struggling against the odds.