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MC1R for tanning) and has been associated with increased libido and erectile function [1] [2] PT-141 (bremelanotide) a derivative of MT-II that works centrally rather than directly on vascular tissue BPC-157 a synthetic peptide with proposed tissue-healing properties, though it lacks human clinical evidence for ED and is not authorised for human use It is important to understand that none of these peptides are licensed by the Medicines and Healthcare products Regulatory Agency (MHRA) for erectile dysfunction and they are not recommended by NICE or the NHS for ED treatment

A safe compounded medication must be prescribed by a licensed clinician and prepared by a reputable, state-licensed compounding pharmacy that adheres to strict quality standards

The evidence quality is moderate overall, supported by the former FDA approval but limited by the absence of large-scale randomized trials for anti-aging applications

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