“…Although untargeted methods (e.g., nuclear magnetic resonance and high-resolution mass spectrometry) can identify novel adulterants, these methods are relatively sophisticated and expensive, which may pose challenges for certain stakeholders. 7,8 Despite the unpredictable and diverse structures of the adulterants, they all specifically inhibit phosphodiesterase-5 (PDE5) activity, the pharmacological mechanism responsible for sexual enhancement (ED drugs/analogs are collectively known as "PDE5 inhibitors" for this reason). Traditionally, assays that measure inhibition of PDE5 activity have been mainly used in drug discovery, pharmacology, and toxicology research settings.…”