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The most discussed effects are sexual in nature: a subset of users report reduced libido, erectile dysfunction, and ejaculatory changes in approximately two to four percent of users in clinical trials, though real-world reporting and patient advocacy groups suggest this number may undercount persistent cases [6]

(Oxford University Press, 1998)

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[DOI] [PubMed] [Google Scholar] 26.Lowrie M, Penderis J, McLaughlin M