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doi: 10.1186/s13020-018-0214-9 252

MC4R-Pathway Sexual-Function Research Central MC4R activation in the paraventricular nucleus and medial preoptic area has been implicated in the regulation of spontaneous erectile responses in male rodent and male research-subject preparations, mediated in part through downstream nitric oxide synthase activation

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If you have any personal history or family history of any type of thyroid cancer, its worth discussing the risks and benefits of the medication with your healthcare provider