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Several studies have also examined cagrilintide in combination with other investigational metabolic therapies, reflecting growing scientific interest in multi-pathway approaches

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7.1 Nose-to-brain delivery of insulin using penetratin Insulin delivery through nose-to-brain pathway is aimed to improve memory by enhancing synaptic plasticity and glucose uptake, thereby attenuating the neuropathy associated with AD ( Takeda-Morishita group employed the noncovalent method for nose-to-brain delivery of penetratin that was found to be better than octaarginine (R8) in intestinal and nasal delivery ( Higher insulin in the blood did not necessarily correlate with elevated insulin levels in the brain, implying that blood-to-brain delivery is not the main contributor to nasal L-penetratin/insulin delivery ( These investigators also assessed the distribution of nasally administered physical mixtures of insulin and L- or D-penetratin and confirmed the direct transport of insulin from the nasal cavity to the brain parenchyma in rats ( More recently, Kamei et al