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Back pain and knee pain are very common in patients with severe obesity, and painkillers such as non steroidal anti inflammatory drugs (including aspirin, Advil and Aleve) are used for this, but opiates are generally avoided, says Dr. David Heber, director of the Risk Factor Obesity Program at the UCLA Center for Human Nutrition. Opiates must be used with caution, adds Dr. Theodore Friedman, chief of endocrinology at Charles Drew University in Los Angeles, because obesity and opiates decrease testosterone levels, lowering libido and causing erectile dysfunction. Opiates are also highly addictive.
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