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Its mechanism focuses on surface-level signaling and extracellular matrix remodeling without the deeper immune modulation that KPV provides

Nonenzymatic protein acylation as a carbon stress regulated by sirtuin deacylases

It also keeps the focus where it belongs: outcomes, tolerability, nutrition, body composition, metabolic markers, and safety

However, RRMS patients in the control group (without vitamin supplements) also had an increase in the quality-of-life questionnaire for mental health, obscuring any conclusions on the effect of vitamin supplements in MS patients mental health

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