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doi: 10.1016/S0361-9230(01)00478-6 284 SezerSBalCKalemAKKayaaslanBEserFHasanogluet al

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Foodderived bioactive peptides (e.g., hydrophobic residues like tyrosine, proline, leucine) and synthetic agents (Selank, PT141, GHKCu) can modulate the HPA axis, gutbrain communication, and neuroinflammation, thereby reducing anxiety and improving sleep quality

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This process might begin with a deficient CD4 T-cell response to viral infections in genetically predisposed individuals (HLA-DRB1), followed by an uncontrolled immune response with CD8 T-cell hyperactivation and elevated antibody production, some of which may be directed against autoantigens, which can trigger autoimmune hypophysitis or direct damage to the pituitary, resulting in decreased production of pituitary hormones, such as ACTH