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Many of them are being hammered by prescribers and patients to do this, he says

This CNS-mediated pro-sexual mechanism is mechanistically upstream of, and independent from, the nitric oxide/cGMP/PDE5 pathway targeted by sildenafil (Viagra), tadalafil (Cialis), and other PDE5 inhibitors which act at the vascular/penile smooth muscle level as downstream effectors of a pre-existing arousal signal

Peptides like hCG and kisspeptin-10 more directly stimulate testosterone production through the HPG axis

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