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(2014) enrolled subjects for what was claimed to be a 12-week trial, but these data are now unreliable due to fabrication Community use: Anecdotal reports of years of use exist, but these are unstructured observations without systematic health monitoring No cancer surveillance: No prospective study has tracked cancer incidence in Dihexa users No organ toxicity assessment: Liver, kidney, and other organ function have not been formally evaluated over time No neurological outcomes: Long-term neuroimaging, cerebrospinal fluid biomarkers, or advanced cognitive assessments have not been performed Unknown delayed effects: Some toxicities emerge only after months or years of exposure (e.g., certain chemotherapy agents cause cardiomyopathy years after treatment) The absence of long-term safety data is not reassuring