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Unlike single-target peptides, Cerebrolysin contains a balanced composition of low molecular weight neuropeptides (under 10,000 Da) and free amino acids that collectively mimic the biological functions of endogenous neurotrophic factors including brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), glial cell line-derived neurotrophic factor (GDNF), and ciliary neurotrophic factor (CNTF)

Extracellular Fe 3+ bound to transferrin (TF) or lactoferrin (LTF) is imported through transferrin receptor (TFRC)

The rare but serious side effects identified in trials include pancreatitis (0.3%), gallbladder events (1.4%), and acute kidney injury (0.7%)

These are consistent with other GLP-1 medications and were generally mild