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It activates melanocortin receptors in the central nervous system, the pathways tied to sexual desire and arousal, so it influences the signal for desire itself rather than the mechanics of circulation

Yang H, Liu Y, Cai R, et al

Biochem Biophys Res Commun 412(1):6167 Mutomba MC, Yuan H, Konyavko M, Adachi S, Yokoyama CB, Esser V, McGarry JD, Babior BM, Gottlieb RA (2000) Regulation of the activity of caspases by L-carnitine and palmitoyl carnitine

For example, ginkgo biloba can have positive effects on the sexual function of postmenopausal women, and some research suggests that Tribulis terrestris might increase libido and sexual desire.8 9 However, at this time, research on these ingredients is limited and inconclusive