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2) Peptide Therapy - tenocytes (tendon cells) can be pharmacologically stimulated to lay down new layers of collagen

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Bremelanotide (PT-141) offers a mechanistically novel approach by targeting central melanocortin receptors (MC3R, MC4R) in hypothalamic and limbic regions rather than peripheral vascular mechanisms ( FDA approval (June 2019) for hypoactive sexual desire disorder (HSDD) in premenopausal women was supported by Phase 3 trials showing improved sexual desire, increased satisfying sexual encounters, and reduced distress ( Complementing these pharmaceutical interventions, natural approaches to age-related hormonal decline, including dietary phytoestrogens, targeted micronutrients, gut microbiome modulation, strategic exercise programming, and bioactive compounds, offer evidence-based alternatives with favorable safety profiles for individuals with contraindications to or preferences against pharmacological hormone therapy ( 7 Discussion 7.1 Different schools of thought The application of peptides in gerontology reflects divergent philosophical approaches to aging intervention