The leading determinant of erectile function improvement was GLP-1 RA treatment itself, more so than changes in HbA1c, weight, or other metabolic parameters
This IGF-1R/AKT/mTOR signaling crosstalk has important therapeutic implications since rapalogs such as sirolimus, temsirolimus, everolimus, and ridaforolimus preferentially inhibit mTORC1 and can promote AKT activation by increased mTORC2 activation in addition to a loss of feedback inhibition [58]
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