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The treatment efficacy was time dependent with a mild protective effect when applied 4.5 hours after stroke and no effect after 8 hours

CASTA, the Cerebrolysin Acute Stroke Treatment in Asia trial, randomized 1,070 patients within twelve hours of an ischemic stroke to either 30 mL of cerebrolysin a day for ten days on top of aspirin, or to a saline placebo (Heiss et al., Stroke 2012, phase 3)

Timothy Piatkowski, a senior research fellow at the University of Queenslands Centre for Health Services Research specialising in performance enhancing drugs (who has himself dabbled with products like BPC-157 in the past) says that such synthetic peptides have been popular in bodybuilding circles for more than a decade

These trials test the drug in thousands of people to check how well it works and what side effects it causes

Best practices for injection site management include: Maintain spacing : Keep injections at least 23 cm apart from the previous injection site