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: CBP frequently seizes large shipments of counterfeit Cialis originating from China. For example, authorities in Los Angeles recently seized over 47,000 fake Cialis pills from a container shipment arriving from China. : Counterfeit pills have been found to contain

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: Counterfeit products may contain hidden ingredients that interact dangerously with other medications, such as nitrates, potentially causing life-threatening drops in blood pressure.

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: Lab tests on "generic" ED drugs from overseas have found active ingredients ranging from 0% to over 200% of the labeled dose.