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Its mechanism is precise and well-characterized: OX2R activation : Directly stimulates the wake-promoting orexin pathway Orexin replacement : Compensates for the loss of orexin-producing neurons that causes narcolepsy type 1 Selective agonism : Preferentially activates OX2R over OX1R, targeting wakefulness without broad hypothalamic stimulation Twice-daily dosing : Maintains orexin signaling throughout waking hours Mechanistic Comparison# Dosing Comparison# DSIP Dosing# No standardized dosing protocol exists for DSIP
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