Let’s start with the fact that many many many medications target receptors that aren’t situated in the brain. Neurons, synapses, epithelial cells, muscle cells, sex organs, lung tissue, liver, kidneys, etc.
Most drugs become distributed through your bloodstream. Overall weight correlates well with total circulating volume, so basing dosages on weight corresponds well to concentration of drug at any one time. Concentration is critical to activity at receptor sites, so it is important to have a suitable dose for the overall circulating volume.
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