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A large proportion come from China, where imports of hormone and peptide compounds have increased dramatically: US customs data shows they hit $328m in the first three-quarters of 2025, up from $164m in the same period the previous year, the New York Times reported

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Unlike many therapeutic peptides, Dihexa can cross the blood-brain barrier and promote BDNF signaling , a key process for: These effects have made Dihexa of great interest in treating neurological diseases, age-related cognitive decline, and more recently, brain fog and fatigue

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If you have sub-optimal levels with symptoms, its worth a trial of B12 even if your serum B12 levels are normal