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Still, some early clinical findings hint at potential uses in more specific contexts: Perioperative brain protection: A randomized controlled trial involving 155 liver surgery patients found that ALA reduced oxidative brain injury from anesthesia (sevoflurane) and improved cognitive recovery scores after surgery.31 Neurodegenerative conditions: In a small trial, ALA appeared to slow brain atrophy in patients with secondary progressive multiple sclerosis over a two-year period.32 While promising, this outcome still needs further confirmation

The DEA doesn't schedule it as a controlled substance, though FDA can pursue enforcement against therapeutic claims

For example, a 2020 study gave 202 people with mild mental impairment and low or low-normal B12 levels and elevated homocysteine levels B12 replacement therapy for 3 months ( After the treatment, 84% of the participants reported significant improvements in symptoms, like poor focus, memory decline, and forgetfulness ( Glossitis is a medical term that refers to an inflamed, red, and painful tongue

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