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Tomiyama K, OTuathaigh CM, OSullivan GJ, Kinsella A, Lai D, Harvey RP, et al

When someone arrives with a significant deficiency, their stores are low, their red blood cells may be enlarged (macrocytosis), and, in longstanding cases, nerve function can be affected

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Specific considerations include: Beta blockers (metoprolol, atenolol, propranolol) lower heart rate by blocking sympathetic stimulation

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After one injection, he developed a painful, unrelenting erection that lasted 22 hours a urological emergency called priapism, caused by the same pathway responsible for the drugs libido effect