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In vivo , 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mice exhibited a marked reduction in tyrosine hydroxylase (TH)-positive neurons and CD31 expression, along with significant decreases in GSH and GPX4 levels

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The water-soluble nature means that passive diffusion can occur when very high doses are consumed orally , which is why high-dose oral supplements (1,0002,000 micrograms) can be effective even in patients with impaired intrinsic factor production

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This can involve temporary side effects or changes in blood sugar control