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As you feel lighter and more energetic, you may be increasing your physical activity

These effects occur independently of sexual stimulation, which suggests central nervous system involvement

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Rosenstock J, Perkovic V, Johansen OE et al (2019) Effect of linagliptin vs placebo on major cardiovascular events in adults with type 2 diabetes and high cardiovascular and renal risk: the CARMELINA randomized clinical trial