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Avgerinos I, Karagiannis T, Malandris K, et al
Dehydration secondary to gastrointestinal side effects (vomiting and diarrhea) can cause fluid and electrolyte imbalances that may trigger compensatory tachycardia that patients perceive as palpitations
Rotating injection sites weekly prevents sensitization of any single area, as repeated injections to identical locations can increase nociceptor density and heighten pain perception over time
So it is likely some men may need Ed treatments like sildenafil to help even while taking a GLP-1
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