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For the oral spray, the recommended protocol involves one spray twice daily

doi:10.1016/j.fertnstert.2009.04.046

Sexual health: Peptides like PT-141 address erectile function through melanocortin pathways

Mechanisms involved are thought to include tracheal microaspiration of acid stimulating bronchospasm 30 and increased airway hyper-reactivity associated with acid reflux into the lower esophagus