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Phase 2: The Engine Turns Over (Months 23) By the second month, the biological machinery is humming

GLP-1 works by: stimulating insulin only when blood sugar is high reducing liver glucose output, slowing stomach emptying to prolong fullness suppressing hunger via the brain, and inhibiting glucagon to maintain stable glucose levels Prescription GLP-1 medications copy this natural hormones action in a longer-lasting, controllable dose, which is what makes GLP-1 medications so effective

Patients used 10 premeasured alprostadil doses of 500, 1,000, or 1,500 mcg or a placebo cream for topical application to the vulvar area prior to intercourse

Endogenously, this occurs 612 times per day, with the largest pulses during slow-wave sleep

Logically, this leads to a decline in protective function, which in turn increases oxidative stress