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In fact, early studies noted that bremelanotide could produce erections in men without visual sexual stimuli by purely central activation

doi:10.3389/fcimb.2020.00098 35

The article explains that semaglutide acts on GLP-1 receptors throughout the gastrointestinal tract, slowing gastric emptying and reducing acid secretion

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Maxfield L et al (2023) Vitamin C Deficiency