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Once you puncture the vial with a needle, bacteria can enter

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The result is a solution containing: Low-molecular-weight peptide fragments (85% of the composition) that can cross the blood-brain barrier Free amino acids (15%) including glutamate, glycine, and serine Neurotrophic factors mimicking BDNF (brain-derived neurotrophic factor) and NGF (nerve growth factor) The key mechanism: Cerebrolysin upregulates neuroplasticity, protects neurons from excitotoxicity, supports synaptic remodeling, and promotes the growth and repair of neural pathways

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10.1210/jcem.81.1.8550748 124 PaineS