I had used Viagra for 10 years. Which I havent used since using Trimix.
About 3-4 years ago PE (Premature Ejaculation) became a big problem. I couldnt last more than a couple minutes.
My family doctor prescribed SSRI Paroxetine (Paxel) which helped with PE, But I also noticed that I seemed to have weaker erections. So much so that I could only do one position. My wife hated it so much she lost interest in sex.
Three months ago I started using Trimix. Strongest erections I've ever had. My wife has said my erections (now) are normal.

What do I know I've never been with another guy!
I also cut back on Paroxetine. And since I cut back on the Paroxetine I've notice three things.
Slight weight loss which I gained since starting Paroxetine.
Stronger erections and have needed to cut back on trimix.
Also I noticed a change in my anxiety/depression.
In short for my well being. Paroxetine helped with PE, but caused weight gain, and weaker erections.
Struggled with ED/PE for years.
Started using Trimix in May 2022 with very good results.