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Two groups reported decreased (Molina et al., 1997a

They fail in the months between visits, when people are left to manage side effects, behavior change, and expectations on their own

2016;7 Suppl 1(Suppl 1):5055

Funding This work was supported by the Innovation Project of Key Laboratory for Sports Medicine of Sichuan Province & General Administration of Sport (SCZJJCC 02), the Scientific and Technological Innovation Project of the General Administration of Sport of China (22KJCX009), and the Natural Science Foundation of Sichuan Province (2022NSFSC1529)

My only really noticed side effect has been a bit of nausea about 10/15 minutes after spraying but it very quickly cleared