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K m (the Michaelis constant) is the drug concentration at which the rate of elimination is exactly half of V max

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high dose did not Onset : Cognitive enhancement observed within 4 hours Duration : Effects persisted for approximately 2 weeks Limitations of Preclinical Dosing Data# Several critical factors prevent translation of animal dosing to human use: No human PK data : Pharmacokinetic parameters for klotho peptides in humans are completely unknown Species differences : Peptide metabolism, distribution, and receptor binding may differ significantly between rodents and humans Route challenges : IV injection and chronic infusion used in preclinical studies require adaptation for clinical use Dose-response : KP1 and KP6 dose-response relationships have not been fully characterized even in animal models Peptide stability : In vivo half-life and proteolytic degradation rates not formally established No Commercial Products Available# Klotho peptides are not available as dietary supplements, injectable peptides, or any other consumer product

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24 Oh HJ, Lee S, Park PH

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