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Side effects may include headache, sleep problems, and gastrointestinal problems.

These rituals then serve to protect the addiction and ensure that patterns of use are stable and predictable and this can be very dangerous if not dealt with expeditiously. A major concern with treatment of substance use disorder alone is that untreated sexual addiction often precipitates a relapse of substance use. Dealing with one addiction while ignoring the other may end up intensifying the problem that has not been addressed. A good example would be when a person in early recovery from a substance addiction turns to sexual performance enhancers in order to continue the ritualized sexual behavior that was previously enhanced by the substance use. This sexual behavior can continue to be problematic for the individual.

¬ Breslin was very impressed by the writing. ‚The cadence of what he was writing was sensational,‚ Breslin later said. ‚The guy could have a column and do me out of a job.]