Dihexa, a synthetic fragment of a natural brain messenger sold online to sharpen memory, reversed memory loss in rodents, partly confirmed by independent laboratories, though several developer papers were withdrawn over altered images. No human study has tested it as sold; an injected form converted into dihexa did not improve thinking in Alzheimer's disease. Risks are mostly unknown: the growth signal it strengthens drives many cancers, and sellers are unregulated. (Full Review)
| Marker | Target | Why |
|---|---|---|
| ALT | 7–56 U/L | Safety check: unknown liver effects; abnormal stops use |
| Creatinine | 0.6–1.3 mg/dL | Safety check: unknown kidney effects; abnormal stops use |
| Blood pressure | No established target; track change from own baseline | Safety check: angiotensin-derived compound with unknown effect |
| Cognitive test score | No established target; track change from own baseline | Expected to change: the outcome of interest |
Cadence: Baseline before starting (plus age-appropriate cancer screening); common practice: cognitive test and blood pressure at 2–4 weeks and at the end of each cycle; liver and kidney panels at the end of each cycle, then every 6–12 months during repeated cycles