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Anecdotal reports include mild lethargy or head-pressure during loading phases, but these are not RCT-verified

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Fusion Proteins: Utilizing fusion proteins such as albumin or Fc fragments to increase the molecular weight of the drug, reducing rapid renal filtration and coordinating with other mechanisms to extend in vivo circulation time

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Fusing six-membered rings at positions C-6 and N-7 substantially improved PDE1 potency

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