The most common reason people look into Semax is cognitive performance, with users reporting sharper focus, better memory and recall, and reduced mental fatigue or brain fog. Its original clinical context was neuroprotection and recovery, so it has been studied and used in Russia around ischemic stroke, transient ischemic attack, and traumatic brain injury. Because it is reported to nudge dopamine and serotonin signaling, some people also reach for it for mood, motivation, and a sense of calm alertness without the jitteriness of stimulants. Less mainstream uses discussed by clinicians include ADHD support, chronic fatigue, and optic nerve conditions, though evidence for these is thinner. It is frequently stacked with Selank, a related Russian anxiolytic peptide, with the pairing framed as focus plus a calmer baseline.