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The table below lists the adverse events that have been reported in two double-blind, placebo-controlled trials in patients on chronic hemodialysis

If you want to clean your vulva (aka the external genital area), use only warm water and mild, unscented soap, and avoid washing inside the vagina (aka douching), which can disrupt vaginal flora and lead to more odor 5

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Acta Medico-Historica Adriatica, 13(1):105-12 Matusz P, MICL?U

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Nonetheless, multiple case reports have documented cardiovascular toxicity, including myocardial infarction (MI) and arrhythmias, attributable solely to clenbuterol, reinforcing its potential for harm even when used alone [20-23]