If you take VigRX Plus long-term, watch your liver, kidneys, heart, and hormones. Check liver enzymes (ALT/AST), kidney tests (creatinine/BUN), blood pressure, and pulse. Track testosterone, LH, FSH, and semen if you want kids. Note headaches, stomach upset, rash, chest pain, or vision changes. Log meds and any new symptoms and tell your doctor about interactions. Want … [Read more...] about Long-Term Safety of VigRX Plus: What to Monitor