THAT'S EASY! All types of regular herbal enlargement pills on the market today don't contain Maxoderm's own patent pending formula called Vasotran Auctum - this is a highly active and very powerful topical property base. Once the ingredients are applied to stimulate the senses you can feel all of these sensations immediately. To know Maxoderm is working, you will feel exhilarating "tingling" or "warming" sensations that right away improve erection firmness and quality. And once you feel this awesome sensation occurring in your penis and your body, that's when Maxoderm is fast at work, enhancing your penis and sexual pleasure!