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Some practitioners do combine Dihexa and Cerebrolysin, as their mechanisms are complementary – Cerebrolysin offers broad multi-target neurotrophic support while Dihexa targets specific synaptogenesis
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Many of these compounds exert pleiotropic biological effects that are directly relevant to FM, including indirect antioxidant activity, modulation of inflammatory and immune pathways, effects on mitochondrial function and cellular stress responses, interactions with SIRT1 signalling and bidirectional crosstalk with the gut microbiota [37,38,39,40,41,42]