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One wrong move, whether it is squirting water directly onto the lyophilized powder, shaking the vial to speed up dissolution, or choosing the wrong diluent, can degrade the peptide before you ever draw your first dose

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10.1016/j.ijpharm.2022.122565 278

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doi: 10.1038/s41443-019-0186-z 31 BelewDKlaassenZLewisRW

Therefore, elamipretide may have a therapeutic potential in preventing the damage from oxidative stress and neuroinflammation that contributes to memory impairment, which makes mitochondria a potential target for treatment strategies for neuroinflammation-related cognitive impairment