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doi: 10.1038/307462a0

Same effects, higher purity, no animal contamination

Lamont BJ, Li Y, Kwan E, Brown TJ, Gaisano H, Drucker DJ

When to See a Doctor Its important to consult a clinician if you experience: New or worsening sexual dysfunction Erectile failure lasting more than 46 weeks Suddenly, severe sexual side effects after dose changes Reduced quality of life or distress about sexual performance A doctor can help confirm whether symptoms are caused by fluoxetine itself or an anxiety-related pattern better addressed with agents like Buspirone and ED: The medication The underlying depression Stress Relationship issues Physical health conditions like high blood pressure, diabetes, or heart disease Sexual side effects are one of the top reasons people stop antidepressant treatment