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Klingauf J, Kavalali ET, Tsien RW

It works by blocking the reabsorption of certain chemicals in the brain

The study from Zheng et al

In the TRIUMPH-1 Phase 3 trial, participants on the 12 mg dose lost an average of 28.3% of their body weight at 80 weeks, and up to 30.3% at 104 weeks in the study extension

It bypasses first-pass hepatic metabolism which oral delivery does not allowing a greater proportion of the absorbed peptide to remain intact as it enters circulation.7 The olfactory pathway also provides a potential direct nose-to-brain route, bypassing the blood-brain barrier a property that has generated interest for neuropeptides and potential neurological applications

Selank can support the process but should not be viewed as a simple substitute requiring no medical oversight