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However, if heart rate effects are accompanied by palpitations, chest discomfort, or significant exercise intolerance, dose reduction is appropriate
Mette Marie Rosenkilde, Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark

Possible mechanisms hypothesized by researchers: Indirect effects: Rapid weight loss, hormonal changes, or shifts in testosterone levels can affect erections
