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MC4R activation appears most relevant at therapeutic doses, with this receptor playing key roles in: Regulation of sexual motivation and arousal Integration of sensory inputs related to sexual cues Modulation of autonomic responses during sexual activity Coordination of behavioral and physiological sexual responses Hypothalamic Pathway Modulation Studies using c-Fos immunoreactivity mapping in rat models showed that systemic PT-141 administration activates neurons throughout the hypothalamus, including the mPOA, paraventricular nucleus, and arcuate nucleus

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