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This inhibition underlies its anti-inflammatory effects [125]

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The widely accepted hypothesis proposes that motor neuron degeneration arises from the interaction between genetic susceptibility and environmental factors, primarily through mitochondrial dysfunction and cytoskeletal disruption mediated by oxidative stress and excitotoxicity (Zhou et al., 2023)

Patients in active weight-loss programs who want energy and metabolic support Patients on GLP-1 or dual-incretin therapy who want adjunctive support Individuals with low B12 status, fatigue, or sluggish fat metabolism Contraindications and cautions