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Baseline liver function tests (AST, ALT, bilirubin), glutathione peroxidase activity, malondialdehyde (oxidative stress marker), and cysteine levels provide clinical context

Abnormal microglial activation, oxidative stress, and neuronal death are also associated with the progression of the disease

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Rather than mixing the powder into a large glass of water and swallowing it immediately, the manufacturer and functional medicine practitioners recommend placing the powder directly in the mouth (or mixing it with a tiny sip of water) and holding it under the tongue or against the cheeks for 30 to 90 seconds before swallowing