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Sildalist Strong 140 mg, which combines sildenafil and tadalafil, can indeed cause gastrointestinal issues as side effects. These might include:

Nausea: Feeling queasy or having an upset stomach.
Dyspepsia: Indigestion, which can involve discomfort or pain in the upper abdomen.
Diarrhea: Loose or frequent bowel movements.
Abdominal Pain: General discomfort or pain in the stomach area.
If you experience any persistent or severe gastrointestinal symptoms while taking Sildalist Strong 140 mg, it’s important to consult with a healthcare provider. They can help determine whether these symptoms are related to the medication and suggest appropriate adjustments or alternative treatments if needed.