Effects of a Jellyfish Collagen-Based Amino Acid Supplement on Cognitive Function and Memory: A Pilot Investigation

Research Article | DOI: https://doi.org/10.31579/2690-1919/532

Effects of a Jellyfish Collagen-Based Amino Acid Supplement on Cognitive Function and Memory: A Pilot Investigation

  • Neil E. Wolkodoff 1*
  • Gerald M. Haase 2
  • Joyce A. Curry 3

1Medical Program Director, Colorado Center for Health and Sports Science, Denver, CO. 

2Clinical Professor of Surgery, University of Colorado School of Medicine, Aurora, CO.

3Assistant Professor of Anatomy and Exercise Science, Colorado Christian University, Lakewood, CO.

*Corresponding Author: Neil E. Wolkodoff, Medical Program Director, Colorado Center for Health and Sports Science, Denver, CO.

Citation: Neil E. Wolkodoff, Gerald M. Haase, Joyce A. Curry, (2025), Effects of a Jellyfish Collagen-Based Amino Acid Supplement on Cognitive Function and Memory: A Pilot Investigation, J Clinical Research and Reports, 19(5); DOI:10.31579/2690-1919/532

Copyright: © 2025, Neil E. Wolkodoff. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 26 April 2025 | Accepted: 01 May 2025 | Published: 09 May 2025

Keywords: cognitive function; jellyfish; collagen; eeg; cognition; memory; executive function; amino acids

Abstract

Background/Aim
This beta investigation assessed the impact of a marine-sourced collagen supplement on measures of cognitive function. Systemic collagen has recently been purported to enhance brain function, but little research has explored this theory. The goal of the current study was to evaluate the effects of oral consumption of an encapsulated powder form of a proprietary jellyfish extract on global cognitive parameters during an eight-week open-label trial in middle-aged and older adults. 
Material & Methods
23 subjects between the ages of 40 and 75 years were selected from the applicant pool for the study. Individuals with specific allergic, cardiometabolic, oncologic, or neurological conditions that may cause undue risk in participation were prospectively excluded. The study consisted of supplement consumption twice daily for eight weeks with an at-home, computer-based standard cognitive battery completed at pre-study baseline and at the end of the trial. In addition, at these same time points, an EEG profile of voltage strength and wave phase pattern was measured during reaction time and trail-making testing.
Results
Five specific metrics were used from the cognitive profile, all achieving changers that were statistically significant at P < .05. The neurocognitive index (NCI) increased from a standard score, age and gender matched, of 90.51 to 102.07. Composite, verbal and visual memory scores combined increased from 96.80 to a mean score of 110.15. Executive function increased from 96.26 to 105.22. EEG total reaction times in the p300 decreased by 130 milliseconds and combined trail-making scores demonstrated a reduction of test time by 12 seconds. Both were statistically significant. Though not analyzable, over half the individuals throughout the study period voluntarily reported positive outcomes, especially related to alertness, energy, focus, and sleep/dream patterns.
Conclusions
This pilot investigation showed that taking a proprietary oral jellyfish collagen supplement may offer meaningful benefits for overall cognitive function and brain activity. Seven different measures of cognitive performance improved significantly over the eight-week period. The supplement, derived from marine invertebrate collagen, appears to be a promising way to support brain health in healthy middle-aged and older adults. Importantly, no adverse side effects were reported, suggesting the supplement could be safely used by a large segment of the global population.

Introduction

Maintenance of optimal cognitive function throughout the lifespan is becoming the most dominant health concern for the public at large, perhaps surpassing the anxiety related to serious chronic illnesses such as heart disease and cancer. Prevention strategies with orally consumable supplements to avoid decline in brain health are widely touted although few, if any, hold the potential to deliver on this promise. 

Collagen is the most abundant complex structural protein in mammalian and marine species and is made up of numerous molecular isoforms, possesses unique amino acid profiles, and is present as several subtypes based on predominant tissue of origin and biological function [1,2]. This compound has proven to have a broad range of applications including in cosmetics, manufacturing, food science, materials production, and the pharmaceutical and biomedical industries [3-6]. Utilization in health care has been demonstrated in hair, skin, and nail conditions as well as wound healing, bone and joint disease, gastrointestinal health, and cognition [6-11]. The mechanisms by which collagen exerts these effects are believed to involve reductions in inflammation and oxidative stress, as well as broader anti-aging properties [12-18].

While collagen has traditionally been sourced from mammals—primarily bovine and porcine origins—there has been growing interest in marine-based collagen sources, which are beginning to noticeably impact the industry [19–20]. Most research on mammalian collagen has focused on its effects on skin, joints, and gut health, with minimal exploration into its potential role in cognitive function. In contrast, marine-derived collagen offers a range of advantages, including economic and environmental sustainability, biocompatibility, immunological safety, ease of extraction, widespread availability, chemical stability, low antigenicity, and enhanced bioavailability [21-23]. Within marine sources, invertebrate species differ significantly from the more commonly studied vertebrates, offering additional benefits in terms of their biophysical properties, processing characteristics, functional potential, and reduced allergenic risk [24-25].

Jellyfish, a marine invertebrate, has recently gained prominence across various industrial sectors and has sparked growing scientific interest, paving the way for future applications and innovations [3,26,27]. Jellyfish-derived collagen peptides are rich in mucopolysaccharides, compounds known to support connective tissue integrity, metabolic function, immune system regulation, mitochondrial performance, and neurological stability. Extraction methods for isolating these bioactive compounds continue to advance, and comparisons with bovine collagen in medical contexts have shown promising results [28-32]. Nutritionally, jellyfish offer a favorable profile: they are low in calories, virtually fat-free, and rich in essential collagen peptides, minerals, and amino acids [19,26,33,34].

Notably, jellyfish harvesting may contribute positively to environmental sustainability, particularly given climate-related changes in marine ecosystems [35,36]. As such, jellyfish collagen aligns with key objectives in economic development, social responsibility, and ecological protection [37-39]. Safety and quality profiles of jellyfish collagen are also strong. Microbiological assessments show minimal presence of harmful bacteria, yeast, or mold, while immunological risks—such as allergic reactions and the transmission of viruses or other pathogens often associated with mammalian sources—are significantly lower [5,22,23,36]. Additionally, concerns related to heavy metals, biogenic amines, or volatile nitrogen compounds are minimal, further supporting jellyfish as a clean and viable alternative collagen source [36,39].

To properly assess the value of a unique, patented jellyfish collagen supplement, this beta investigation employed techniques validated to measure global brain health status and cognitive function. A range of computerized test batteries can detect cognitive changes and related psychological and psycho-motor tasks [40-46]. This study utilized a well-known, remote evaluation tool that was self-administered and comfortable for participants to master and for whom the effects could be reliably replicated. These metrics have been shown to be of clinical value in a variety of settings and in subjects with a broad spectrum of age ranges in detecting cognitive changes [46-50]. 

In addition, the pilot trial incorporated electroencephalographic (EEG) electrode measurements during timed activity to further quantify brain activation and waveform patterns. EEG is noninvasive technique that records synaptic electrical activity, capturing voltage fluctuations and reproducible brain wave patterns, allowing for relevant clinical interpretation [51-53]. The technique's reliability has led to its use in numerous research and medical settings [54-56]. Cognitive domain status also utilizes EEG measurements [53-56]. In addition, specific brain wave patterns can indicate cognitive processing and function [57-59]. 

Moreover, the combined use of computerized cognitive assessments and EEG monitoring has a well-established track record in human clinical trials evaluating the effects of dietary supplements and other interventions [59-61]. This study leveraged both validated modalities to comprehensively assess the potential cognitive benefits of the jellyfish collagen supplement.

Materials and Methods

The study group consisted of participants of both genders (7 males, 16 females), with ages ranging from 40 to 72 years (mean age = 53). No vulnerable populations were included in this investigation. Prior to enrollment, potential participants were screened for current medication or supplement use, which was reviewed for clinical and safety considerations. They also provided information on their lifestyle and activity routines. To ensure consistent results, participants were required to maintain stable nutrition, medications, lifestyle habits, supplements, and activity levels throughout the eight-week trial.

Exclusion criteria included a personal or family history of allergies to fish, a serious cardiometabolic or oncologic health condition, a medical diagnosis of neurological disease, tremor, or cognitive impairment. In addition, subjects were queried about lifestyle factors for the study period to ensure consistency in exercise, dietary and work/life factors. The Institutional Review Board of the Colorado Center for Health and Sports Science approved the trial, and all participants indicated understanding of and signed the designated Informed Consent document.

The jellyfish supplement used in this investigation was KollaJell  (Certified Nutraceuticals, Inc., Pauma Valley, CA). This collagen powder is a patented peptide formulation of collagen types I, II, and V, naturally sourced from wild Stomolophus meleagris and Acromitus Hardenbergi, two of the most studied and validated jellyfish species. This product was chosen for the study because it is a proprietary complete mixture containing 20 essential and nonessential amino acids, with minerals, trace elements, and calcium-binding proteins. This comprehensive extract supports physiological processes, gut-brain axis signaling molecules, immune system responses, glucose and lipid metabolism, mitochondrial energy, antioxidant protection, cognitive processes, and neuronal network function [8,11,12,14,18,28,62]. 

The patented extraction process used for the supplement preserves the collagen’s unique properties without the use of harsh chemicals or solvents [26]. This method results in a clean, hydrolyzed powder that is safely encapsulated into 500 mg doses per capsule (Figure 1). Participants in the trial began by taking one capsule twice daily, in the morning and evening. After approximately two weeks, they gradually increased their dosage to two capsules twice daily, resulting in a total intake of two grams per day over the eight-week study period. Five participants reported feeling overly alert if they took their second dose in the evening, so they opted to consume it in the early afternoon instead, which resolved the issue.

Figure 1: KollaJell Edible Jellyfish Peptide Product

At baseline, the participants completed the two investigative metrics before consuming the study product and after eight weeks of supplementation. The first was a standard cognitive test battery (CNS Vital Signs, Morrisville, NC). This broad-spectrum computerized neurocognitive testing instrument has been well-validated by two decades of experience in clinical and research environments [63]. The test was self-administered at home by each subject on their computer, allowing maximum familiarity and comfort. Each subject received detailed instructions, including minimum hardware/software requirements, a quiet, isolated setting that eliminates visual or sound distraction, and a dedicated, uninterrupted period. Twelve measurements were recorded during the test.

Prior to the start of the study, individual interviews with subjects indicated a strong personal interest in overall cognitive function, i.e., "Is my brain and thinking age appropriate?" This led to the inclusion of the neurocognition index (NCI) as a key measure. When queried about other individual interest areas, all subjects specifically expressed memory function in some form. Hence, the addition of composite, verbal, and visual memory. More than half of the subjects noted information planning, problem-solving, and attention in various work and social situations as important to them. These interests most closely matched executive function [64 - 67]. All 12 metric areas combine for the NCI. Measures recorded yet not individually calculated included psychomotor speed, reaction time, complex attention, cognitive flexibility, processing speed, simple attention and motor speed. 

The standard score used in this system is adjusted for age and gender, allowing comparisons of each participant’s performance relative to the "normal" population. A score in this system of 100 is average, with below that number, some degree of below average, and above that number, above average. Regardless of where a participant fell within the age range, the standard score provided insight into how their results compared to age- and gender-matched norms, and how the composite score changed for the selected measurements over time. In this system, raw scores are compared to age and gender-specific norms to generate a standard score. A score of 100 represents the average for that age and gender group.

The second trial measurement was an EEG profile performed in a research laboratory center environment (WAViMed Scan EEG System, Denver, CO). This measurement permits the detection of voltage activation in different brain regions in response to simultaneous performance. The activities undertaken during the EEG session included auditory reaction time and two standard trail-making tests. The p300 total reaction time, voltage during the test, and combined trail-making scores were recorded for each subject. The p300 test is depicted in Figure 2.


 

Figure 2: EEG p300 using the WAViMed System

Weekly subject contacts were made to ensure compliance with study conditions. This provided a platform for weekly subjective observations on changes in quality-of-life factors as they related to dimensions such as cognitive function, sleep, daily routine, and energy levels.

Results

Standard scores and mean outcome changes for neurocognitive index, composite memory, visual and verbal memory, and executive function are detailed in Table 1. 

The NCI improved from 91.05 to 102.41, while composite memory started at 96.9 and increased to 111.57. With respect to isolating specific memory scores, the verbal memory values changed from 94.68 to 108.3, while visual memory scores started at 98.83 and finished at 110.58. Executive function had a starting mean of 96.26 and concluded at a mean score of 105.22. All changes were statistically significant, as noted by the test scores for each category.

All five areas improved from slightly below the average standard score of 100 to above 100. Figure 3 graphically depicts these changes. 
 

Figure 3: Graphic Depiction of Cognitive Test Changes, Pre and Post

Regarding the EEG assessments, the mean total reaction time for the p300 decreased from 300.94 milliseconds to 269.3 milliseconds, statistically significant with a P value of .004. The initial mean voltage reading was 12.27 microvolts (uV), with a final value of 11.92 uV. This change was not statistically significant at the P = .280 level. The trail-making composite test times decreased from 134.02 to 122.4 seconds, statistically significant, with a P value of .037. These results are combined in Table 3.

The topographic maps depict in visual form the brain's activation during the p300 assessment. Cool colors, like blue and green, indicate low activation. Warm colors, such as yellow, orange, and red, scale upward, indicative of more activation. As individual topo maps vary, the subjects were combined in two pre-versus post-intervention composite graphics. This image, Figure 4, mirrors visually the changes in total reaction time and decreased trail-making score time
 

Figure 4: Combined Subject EEG Topo Map, Pre and Post

Discussion

This prospective pilot observational trial is one of the few human studies to describe the effects of a proprietary jellyfish collagen powder extract on a battery of cognitive parameters in adults. This investigation utilized two validated techniques to assess the changes in recognized, vital cognition domains. These observations have important implications for clinical relevance since the benefits were demonstrated in a broad adult population of both genders. Therefore, this attribute of the study may provide reasonable generalizability of the results to a large global audience.

The initial step in launching this beta study was identifying the optimal collagen supplement intervention that could positively impact brain health. This was accomplished by employing a product that was sourced from wild-caught, edible jellyfish (Kolla Jell™) by a patented extraction technique [26]. The resulting substance uniquely contains types I, II, and V collagen with 20 essential and nonessential amino acids, key macronutrients, calcium-binding proteins, and antioxidants. Significant amounts of glycine, tryptophan, glutamate, and tyrosine are present to produce neurotransmitters dopamine, gamma-aminobutyric acid, and serotonin, essential for neuroprotection, mood regulation, and cognitive function. Another advantage of the proprietary formulation was the relatively low dose required to detect a clinically relevant effect. The study dose of only two grams per day contrasts notably to the usual daily commercial collagen dosages of five to twenty grams.

In addition, the currently employed natural source of ingredients is critical since there are ample opportunities for deception regarding jellyfish-related compounds. For example, the naturally occurring calcium-regulating protein apoaequorin may address some aspects of age-related cognitive decline [68]. However, commercial enterprises may chemically manufacture synthetic, laboratory-created versions of this protein and claim, without proper evidence, that this artificially constructed form is equivalent to the natural protein [69]. Of course, these unsubstantiated claims are subject to criminal investigation, regulatory reprimand, penalty, scientific criticism, and public rebuke.

A strength of this pilot study was a selection of relevant clinical metrics to assess cognitive changes and employ the most appropriate methodologies to achieve the goals. The CNS Vital Signs Neurocognitive Test is a validated measure of brain health parameters that demonstrates test-to-test reliability and provides objective outcome scores comparable to the research normative values [63]. It also represents an efficient modality since the study subject can complete the assessment by self-administration in an in-home, comfortable, and familiar environment. 

EEG measurement is a noninvasive method for recording the spontaneous electrical activity of the brain. This technology has been used routinely in medical and research settings to assess cortical function for almost a century and provides reliably consistent energy and wave patterns [51,52]. Due to its portability, ease of use, and virtually painless application, EEG is widely accepted in clinical settings. In this study, the EEG was especially valuable for detecting changes in brain voltage activation during three specific performance measurements.

This beta investigation showed beneficial outcomes in several parameters, including statistically significant increases in overall neurocognitive index, composite memory scores, individual verbal and visual memory, and executive function. These changes were both more expansive in the number of affected metrics and significance compared to other nutritional studies using the same or similar instruments/associated metrics [70-78].

The EEG profiles showed similar positive outcomes during the eight-week supplementation phase. Both auditory and visual responses, as well as trail-making test completion, improved to a comparable extent. While the average microvolts during the p300 wave declined slightly, they remained within the normal range. This supports the idea, proposed by some, that voltage is not necessarily the dominant predictor of cognitive function. In this study, the p300 voltage readings remained within the normal 6-15 µV range, while significant improvements were observed in total reaction time and combined trail-making scores. This was mirrored in the combined topo maps showing more activity, especially in the right side, particularly the Parietal, Temporal and Occipital regions, which combine for sensory input and processing [79-81].

Interestingly, more than half of the participants voluntarily reported benefits related to cognitive function, energy, and sleep/wake patterns, even though these aspects were not directly addressed by the study queries. With this study, the investigators were particularly mindful of the vagaries associated with clinical studies performed outside of the controlled environment of a standard trial site. Decentralized studies require constant vigilance on the investigators' part to ensure compliance with all performance aspects [82,83]. The key principles of this strategy note four distinct processes. The initial facet is the selection of the right subject, which occurs through the prospective, randomized recruitment process, eliminating those who possess any exclusion criteria. The next step involved the proper intervention, which was achieved by employing a unique natural jellyfish collagen supplement to measure the benefits. An important component, rarely addressed in nutritional studies is the consistency of lifestyle. Changes in nutritional patterns and intake, exercise, and other associated patterns can radically alter the results. The subjects had to commit to a consistent lifestyle and were monitored weekly to ensure this consistency over the eight-week period. Then, the relevant data must be used, and this was accomplished by utilizing two validated methods that assessed the necessary clinically relevant parameters. Finally, participant health and safety must be a priority. Fortunately, in this trial, no adverse side effects were reported primarily or detected secondarily.

Although the cognitive outcomes were positive, the current study did have some limitations. The open-label design without a placebo group may cause questions about the findings. However, the depth and breadth of the results in this case are compelling. The variability of the initial cognitive scores in each measurement did not affect statistical significance. An informal review of the subject starting points of those below average and those above average showed that both groups had improved in all five measures. One conclusion from this fact is the supplement worked well no matter where the subject started on the cognitive scale.

The relatively modest number of eligible subjects who completed the entire study may also engender some doubts, yet the strength of the objective data speaks for itself. All participants were personally and frequently monitored to ensure proper supplement consumption and accurate compliance with the computerized testing modalities. Future trials of longer duration and with larger subject numbers may be warranted to further confirm and more broadly generalize the current findings.

Conclusion

An eight-week trial of an orally consumed proprietary jellyfish collagen extract improved cognitive tests measured by an in-home computerized testing battery. The unique supplement also demonstrated a broad spectrum of brain activation and related performance during EEG monitoring. The systemically absorbed natural collagen product was well tolerated and did not cause any adverse side effects.

Acknowledgement

The authors are fully responsible for the content of the manuscript. NEW provided overall study design, data gathering and assembly, and final edits. GMH contributed to the initial paper structure and subject compliance. JAC performed initial study research review, subject recruitment and paper review. The supporting entity, Certified Nutraceuticals, Inc., had no role in study design or execution, data collection or analysis, or manuscript preparation. CN did provide product and testing support for the study.

References

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith