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Common MS medications that have been checked for interactions include: Injectable DMTs: Interferons (Avonex, Rebif, Betaferon), glatiramer acetate (Copaxone) Oral DMTs: Fingolimod (Gilenya), dimethyl fumarate (Tecfidera), teriflunomide (Aubagio), siponimod (Mayzent), cladribine (Mavenclad) Infusion DMTs: Natalizumab (Tysabri), ocrelizumab (Ocrevus), alemtuzumab (Lemtrada) While there are no direct interactions, some practical considerations apply: Immunosuppressive DMTs: Maintaining adequate nutrition and hydration is important when taking immunosuppressive medications

And accept that some degree of MC4R-mediated arousal is unavoidable due to the peptide's non-selective binding

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