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doi: 10.1016/j.nefro.2020.03.005 16 ChenJLiXGeCMinJWangF

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When MC4R is stimulated by PT-141, a downstream cascade initiates: Dopaminergic activation dopamine pathways associated with sexual reward and motivation are upregulated Oxytocin release the bonding and arousal neuropeptide is triggered Autonomic response genital blood flow and sensitivity increase, not through direct vascular action, but as a downstream effect of central signaling This is why researchers describe PT-141 Peptide as the ignition rather than the fuel it activates the desire pathway at its neurological root

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