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As previously mentioned, SCFAs, particularly propionate, can stimulate intestinal enteroendocrine cells to release PYY, which is involved in the modulation of electrolytes and water absorption in both epithelial and neuronal cells (94, 95)

My dosage was even lowered from 3 to 2 pills / day (10 day course)

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

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GLP-1 medications require careful dose titration, side effect monitoring, and adjustments based on how your body responds