The FDA issued a safety alert in April 2025 noting 32 adverse event reports (20192024) including erectile dysfunction, depression, and suicidal ideation
[ CrossRef ] [ Google scholar ] [ PubMed ] Campbell JD, McDonough JE, Zeskind JE, Hackett TL, Pechkovsky DV, Brandsma CA, et al
Contact your GP for reassessment if symptoms persist after starting treatment
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Doctors usually begin with blood tests to measure: Testing becomes especially important when symptoms appear alongside unexplained weight loss, digestive problems, severe fatigue, or neurological changes