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Surgery carries surgical risks and requires permanent dietary modifications

A spinoff company, Athira Pharma (formalized as M3 Biotechnology before rebranding), was founded in 2011 by PhD student Leen Kawas to commercialize dihexa and a related molecule, ATH-1017 (fosgonimeton)

Mechanistically, the pathway is relatively well-mapped: semaglutide reduces fasting insulin lowers LH-mediated ovarian androgen secretion increases SHBG, which binds and inactivates free testosterone creates a more favorable hormonal environment in the follicle