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Phentermine, used without Fenfluramine, was not associated with these increased heart valve changes

doi: 10.3390/pharmaceutics10030159

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doi: 10.3390/jcm9030675 CrossRef Google Scholar View reference in article 52 HodiFSLawrenceDLezcanoCWuXZhouJSasadaTet al

Serious adverse reactions have been reported in individuals who abuse anabolic androgenic steroids and include cardiac arrest, myocardial infarction, hypertrophic cardiomyopathy, congestive heart failure, cerebrovascular accident, hepatotoxicity, and serious psychiatric manifestations, including major depression, mania, paranoia, psychosis, delusions, hallucinations, hostility and aggression

doi: 10.1186/1471-2202-9-S2-S15