Alzheimer’s disease remains one of the most difficult neurodegenerative conditions to treat. Although existing medications can help manage symptoms or slow progression in some patients, there is still no cure, and researchers continue to investigate approaches that might influence the biological processes underlying cognitive decline. One treatment attracting international attention is NeuralCIM, also known as NeuroEPO Plus, a nasal formulation of recombinant erythropoietin developed in Cuba. Unlike conventional approaches that primarily target neurotransmitter systems or amyloid-related pathways, this experimental treatment is based on the possibility that erythropoietin-related signaling may help protect neurons and support brain function. Interest has grown beyond Cuba, with reports of American patients traveling to Havana to seek treatment. But the story is more complicated than a promising result or a destination for medical tourism. Clinical trial findings have raised important questions about cognitive outcomes, long-term effects, safety, and the level of evidence required before a treatment can be considered established. So what is NeuralCIM, what does the published research actually show, and why is it drawing attention despite not being approved by the US Food and Drug Administration? What is NeuralCIM? NeuralCIM, marketed in Cuba as NeuroEPO Plus, is an intranasal formulation of recombinant human erythropoietin, or EPO. EPO is a naturally occurring signaling protein best known for its role in stimulating red blood cell production. The body’s relationship with EPO, however, is not limited to the production of red blood cells. Research has also investigated erythropoietin signaling in the nervous system, where it may influence cellular survival, inflammatory responses, and the brain’s response to injury. These findings have led scientists to explore whether EPO-related pathways could have therapeutic relevance in neurological disorders. The challenge is that erythropoietin has biological effects that extend beyond the brain. Systemic EPO can increase red blood cell production and, depending on the circumstances, raise concerns about elevated blood viscosity, hypertension, and thromboembolic complications. A formulation intended to act through the nasal route represents a different delivery strategy, but it does not automatically eliminate safety concerns.