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Acknowledgments Part of this study was reported at the Annual Congress of the Japanese Society of Dialysis (Fukuoka, 2013)

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There have also been cases of people taking melanotan developing rhabdomyolysis (a potentially fatal condition where muscle tissue rapidly breaks down), renal infarctions (a sudden loss of blood flow to the kidney that can result in permanent injury), posterior reversible encephalopathy syndrome (a neurological disorder that includes seizures, headaches, and altered mental status), and priapism (prolonged and painful erections that can result in erectile dysfunction), Dr