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Intranasal delivery, though less studied with Dihexa, would theoretically provide direct CNS access with minimal systemic exposure, potentially requiring the least frequent administration to maintain effective brain tissue concentrations

Vakov J, Koan L, Vako L, Perjsi P
The PRISMA 2020 flow diagram was generated using the PRISMA2020 R package and Shiny app (Haddaway et al

Zinc inhibits 5-alpha-reductase, the enzyme that converts testosterone to DHT
One heavy session can delay soft-tissue healing by 5-7 days based on inflammatory marker recovery times (Koyuncu et al., 2025)
