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44,45 In a meta-analysis of 48 RCTs including 27,729 participants, the overall incidence of GI adverse events was reported to be 11.6%, with nausea identified as the most common symptom (21.4%)

Its available as an FDA-approved medication called Vyleesi (bremelanotide), though it can be found online as an unregulated injection

3) showed that, in the diabetic subgroup, patients receiving ALC presented a significant decreased in VAS scores compared with those receiving placebo (MD, 1.47