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It leverages the bodys central pathways (melanocortin and dopamine systems) to produce an erection and heighten libido, rather than directly affecting the penis blood vessels

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While direct reproductive toxicity has been extensively documented, the mechanisms underlying heritable reproductive dysfunction represent an emerging frontier requiring intensive investigation ( Figure 3 )

The typical treatment protocol involves a series of 12 sessions, each spaced out over a few weeks

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Week 1-4: initiation phase Start at 2.5mg weekly