
Is the Alma Duo treatment guaranteed?
The honest answer: no, no medical treatment can offer a 100% guarantee. Anyone who promises you otherwise is trying to sell you something (red flag 🚩).

What we can tell you, however, is that Alma Duo is a medical technology with a well-documented clinical record. And that the results are real for a large majority of the patients we treat.
What clinical data show
The treatment is based on low-intensity shockwave therapy (Li-ESWT), an approach validated for vascular erectile dysfunction. Studies on this technology report significant improvement in most treated men, especially those whose condition is linked to insufficient blood flow.
Results depend on several factors:
The underlying cause of erectile dysfunction
Overall health status (diabetes, high blood pressure, smoking)
Age and symptom severity
Adherence to the full treatment protocol
Why results vary from one person to another
Alma Duo works by stimulating the formation of new blood vessels in the pelvic area. It’s a biological process, not a mechanical one. Each patient’s body responds at its own pace.
That’s why an evaluation before treatment is not a formality.
It’s an essential step.
What we do at NIOS Clinic to maximize your chances of success
Before getting started, we take the time to assess your profile to make sure you are a good candidate for treatment. If Alma Duo is not the best option for you, we’ll tell you frankly, rather than have you invest money for nothing.
If you are a good candidate, we support you through the entire protocol and adjust based on your progress. You are not left on your own between sessions.
In summary
No absolute guarantee, but a serious technology, a high success rate, and a team that starts by making sure the treatment is truly right for you. That’s the real guarantee we can offer you.
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10 minutes from Laval
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