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PT-141 Bremelanotide Nasal Spray is a needle-free option prescribed to support arousal response through brain-based pathways

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Patients should be counseled to maintain adequate fluid intake and monitor for signs of dehydration, including dark urine, dizziness, or decreased urination, which warrant medical evaluation

A second group received intermittent intramuscular injections on days 7, 9, 14, and 16

Clinical context guides next steps: consider repeat testing, adjunct GH stimulation/suppression tests, or imaging only when the presentation aligns with endocrine pathology