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Additional adverse events documented with phentermine include: Overstimulation and tremor Constipation Altered taste perception Abnormal sensations or paresthesia For patients combining phentermine with topiramate, side effect profiles expand to include dizziness and altered taste sensation

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and colleagues, once sexual stimulation takes place, relaxing factors from the endothelial cells in the penis are released with nitric oxide (NO), which is probably the principal neurotransmitter mediating penile erection

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doi: 10.1186/s12931-016-0403-y 161 YangYShenWZhangZDaiYZhangZLiuTet al