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Pramipexole is a dopamine agonist which primary purpose is to treat Parkinson’s Disease. However, athletes used this drug primarily to combat a specific kind of gynecomastia. It also improves sexual function that is sometimes diminished through the use of specific anabolic steroids. However, a low dose of this drug offset the issue of increase prolactin that negatively affect a man’s sexual performance like maintaining an erection. Side effects depend on the genes and do not negatively affect most users in a significant way but they can be quite bothersome for some. It includes nausea which are the most common side effect, vomiting, hallucinations which are rare, loss of appetite, edema, insomnia dizziness, headache, and muscle twitches