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While direct cortisol measurements were not specifically reported in the published safety trials, the comprehensive metabolic monitoring across 900+ participants showed no clinically significant hormonal changes, and the mechanism of action provides no pathway for cortisol stimulation

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The compound has been characterized in rat and mouse cognitive-research models principally scopolamine-induced cognitive impairment, aged-rat cognitive decline, and the APP/PS1 transgenic Alzheimers disease model with reported effects on hippocampal synaptogenesis, dendritic spine density, and Morris water maze performance

But "any time" does not mean "all times are equal." It means the manufacturer did not find a statistically significant difference in primary endpoints based on timing in their pivotal trials

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