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Escitalopram, a selective serotonin reuptake inhibitor (SSRI) antidepressant, and Wegovy (semaglutide), a GLP-1 receptor agonist for weight management, work through entirely different mechanisms

[7] [8] Additionally, GLP-1 signaling may influence GABAergic and glutamatergic neurotransmission, further modulating reward-related neural activity

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Much of the benefit can likely be explained by weight loss induced by the drug

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Spontaneous erections (men) MT-2 activates the same pathways as PT-141, so increased erections are common, especially during the loading phase