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Those papers which formed the preclinical rationale for dihexa's nootropic claims and for Athira's NIH grant applications had been cited as evidence that dihexa promoted synaptogenesis at rates far exceeding BDNF

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Conversely, excessive NADPH accumulation can induce reductive stress, leading to the upregulation of NADPH oxidase 4 through activation of the PI3K/Akt signaling pathway, thereby promoting ROS generation, as observed in osteoarthritis (96)

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So you can imagine, for instance, that maybe you injure your elbow