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At present, ED is medicated with the following methods: vacuum-constriction methods, intracavernosal injections of vasoactive drugs, intraurethral therapy, surgical intervention and oral therapy.

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But people can also have bradycardia if they've had a heart attack or if an underactive thyroid gland or aging has slowed the heart. Monitor for loss of glycemic control when pseudoephedrine, phenylephrine, and other sympathomimetics are administered to patients taking antidiabetic agents.
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Anecdotally, it appears that when people stop Januvia, their blood sugars go back to whatever state they were in before they started the drug, which does not suggest that any change has been made to the state of the beta cells.

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