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Protocol 4: Sexual health optimization Goal: Maximize libido, erectile function, and sexual performance Stack: PT-141: 1-2mg as needed (before sexual activity) Kisspeptin: 1mg, 3x weekly (baseline enhancement) Cialis (5mg daily, optional pharmaceutical addition) Duration: As needed for PT-141, ongoing for kisspeptin Expected results: Strong, reliable erectile function Enhanced desire and arousal Better overall sexual experience More frequent spontaneous erections Best for: Men with diminished sexual function, low libido, or wanting enhanced sexual experiences