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This is not speculation
The end products of lipid peroxidation, such as malondialdehyde (MDA) and 4-hydroxynonenal (4-HNE), are highly reactive and can form adducts with proteins and DNA, impairing their function [33]

Am J Transl Res 2018;10:501-510

As of 2026, Cerebrolysin is not FDA-approved for any indication in the United States

The rectal administration is also beneficial for patients who may have difficulty swallowing pills or for those who have gastrointestinal issues that could interfere with the absorption of oral medications
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