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This may lead to slower or reduced sexual response, even in the presence of desire

473 : 4992 .
Trimethylamine-N-oxide: a carnitine-derived metabolite that prolongs the hypertensive effect of angiotensin II in rats

doi: 10.1016/j.jconrel.2017.10.039

High doses may lead to the K-hole phenomenon, characterized by extreme dissociation without loss of consciousness (Malhotra et al., 1996)