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Kim, E.J., Sajjad, A., Montes de Oca, I., Koch, D.D., Wang, L., Weikert, M.P

Only English-language publications were considered

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]

& Bass, P
