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SAO PAULO, Brazil -- Two Brazilian soccer teams denied they are considering combatting the effects of playing at high altitudes during Copa Libertadores by using Viagra, a drug being studied by the World Anti-Doping Agency for its potential use as a performance enhancer. The issue emerged this week when Brazilian reporters asked a Gremio trainer, Alarico Endres, about possibly using Viagra -- the blue pill commonly associated with treating sexual dysfunction in men -- during the South American championship. Viagra, or sildenafil citrate, suppresses an enzyme that regulates blood flow and allows vessels to relax and widen. It also was used to treat pulmonary hypertension by relaxing the arterial wall. In the case of athletes, increased cardiac output
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