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“I take 20 mg Cialis pill and it works as expected but after sexual intercourse I sometimes feel muscle pain in the back and fatigue. I do not know if this is because I work like a stud or it is a side effect. Anyway I am lucky that I gave it a try.”

It follows a landmark review of gender services in England which warned of a lack of research.

Swedes have been able to change their legally recognised gender since 1972 - but this will make it easier.

Severely obese pre-schoolers in Somerset are among the first to receive NHS weight management help.

Physical punishment at home can have a lasting impact and end in abuse, children's doctors warn.