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Sexual Side Effects Prevalence: 40-60% of users (more pronounced in males) Onset: 1-4 hours Duration: Variable, may persist hours after injection MT-2 activates MC3R and MC4R in the hypothalamus, triggering dopaminergic pathways associated with sexual arousal (Van der Ploeg et al., 2002)

When combined with hyaluronic acid, effects were even more pronounced, with animals showing better cartilage structure preservation and shorter periods of lameness

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