Vardenafil/levitra doesn't give me any bad sides effects. Perhaps a little facial flushing and heat but nothing bad at all. I have only used 20mg tabs for reference. I have only used them pre workout but it stays active a good few hours (half life about 4-5 hours). It feels more like a short cialis to me in the sense the lack of side effects. Viagra causes many more sides for me but a starting dose for that is 50mg. I have tried 25mg viagra and it works but sides are still an issue so the others are much better for me.
Like Rambo ACV done the opposite for me. I remember the first time I used it years back it was the first time I have ever experienced heart burn. As you stated generally it helps others though. I have metformin but haven't bothered dosing it. I will restart but I doubt I will ever go above 500mg per day. I don't plan to use insulin again and if I do tiny amounts but as you know metformin has many benefits. I am trying to cut my supps down at the moment as they started mounting up and I don't think 30% of them are even needed for me.
If you are with a girl tonight I would just go with 20mg cialis and take something for the heart burn. Do they sell Rennies (calcium carbonate and magnesium carbonate) in the US? That's the only brand I have used and they worked but I am sure most do. I recommended the cialis just incase vardenafil gives more side effects as it's new to you. Although maybe try it as I doubt it is going to be worst than severe heart burn. A bright red face is not a good look for a girl though so there is that risk
I remember trying viagra for the first time with a girl and I was bright red and heat was radiating from my face and my nose was blocked so I could barely breathe