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A peer-reviewed study in the Journal of Pharmaceutical Sciences confirming that temperature and moisture are the primary drivers of lyophilized peptide degradation during storage provides the scientific basis for these refrigeration requirements

Continuous receptor activation isn't inherently superior to pulsed stimulation for compounds like Dihexa where the therapeutic effect derives from triggered structural changes rather than ongoing receptor occupancy

2012 Jun

These actions improve the chloride ion currents mediated by GABA ( (2) Selectively inhibits voltage-dependent Na + channels, which reduces or stops the release of neurotransmitters and vasoactive peptides, inhibits action potential propagation, and lessens focal discharges ( (3) It minimizes sustained membrane depolarization, raises the threshold for migraines, inhibits the release of CGRP and glutamate from the trigeminal vascular nerve endings, blocks high-voltage activated Ca 2+ channels, and reduces or prevents the release of neurotransmitters and vasoactive peptides ( (4) Reduces glutamate release as well as discharges by antagonistically binding to the AMPA/kainate receptors while having no discernible effect on the N-methyl-D-aspartic acid receptor subtypes ( (5) Reduces the levels of excitatory neurotransmitters and increases the transmission of inhibitory neurotransmitters by inhibiting carbonic anhydrase (CA), especially CA II and CA IV (White, 2005)