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Conclusion Melanotan II remains of scientific interest because it can interact with multiple melanocortin pathways involved in pigmentation, metabolism, and sexual function

[29] [30] For individuals with diagnosed metabolic conditions such as hypothyroidism, the NHS provides levothyroxine replacement therapy to normalise metabolism, with regular monitoring through thyroid function tests

Further validation for factors such as sex, ethnicity and the effect of injury [103,104,105] increased sensitivity and saw the test introduced for the London 2012 Olympics leading to the disqualification of two Russian power lifters