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You should contact your healthcare provider if you experience: Sudden or significant changes in libido that concern you or affect your quality of life New onset of erectile dysfunction or difficulty with arousal Changes in sexual function accompanied by other symptoms such as mood changes, fatigue, or hormonal symptoms Concerns about how weight loss or medication may be affecting your intimate relationships Suicidal thoughts or severe depressive symptoms (seek urgent care) Your physician can conduct a thorough evaluation to identify potential contributing factors

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Pancreatic -cell response to increased metabolic demand and to pharmacologic secretagogues requires EPAC2A
