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View source The New England Journal of Medicine 2021 PMID 33567185 Wilding JPH et al

In the United States, Cerebrolysin is not currently approved by the FDA for any medical indication

Heart dysfunction, lung lesions (i.e., time-dependent and time-independent features that can be acute respiratory distress syndrome exudative phase features), liver failure, and gastrointestinal lesions, widespread arterial and venous thrombosis, severe portal and caval hypertension and aortal hypotension were all counteracted [26]

Use this quick framework: Clarify your primary goal CNS and respiratory focus you may favor intranasal delivery