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Biometals (2021) 34:314

doi: 10.3389/fimmu.2018.02776 103 LawAMKValdes-MoraFGallego-OrtegaD

Semax came off the Category 2 list in 2026 and is also one of the seven peptides under PCAC review in July 2026

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Neuroimaging (MRI of the spinal cord) may occasionally be warranted to exclude other pathology or to demonstrate the characteristic changes of subacute combined degeneration, though this is not routinely required for diagnosis

References: a Hossain and Asada, 1984