No side effects - because this pill is made from a perfect and natural blend of potent herbs, you can actually use it for as long as you wish, without the fear of cumulative toxicity build up in your metabolic system. Something else that is good about this item is that the total package it includes is very good for the clients. Penile enlargement caused by Maleextra is permanent, whereas other the effects of other products reverse if you stop using the product.