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From in vitro studies using human SH-SY5Y neuronal cells, it was demonstrated that cell proliferation is increased with GLP-1 treatment (Li et al., 2010

Individuals with gastrointestinal conditions affecting absorption require careful monitoring: Pernicious anaemia (autoimmune condition destroying intrinsic factor-producing cells) Crohn's disease or coeliac disease affecting the terminal ileum Following gastric surgery (gastrectomy or bariatric procedures) Chronic pancreatitis Small intestinal bacterial overgrowth (SIBO) People taking certain medications may experience impaired B12 absorption: Metformin (diabetes medication)the MHRA Drug Safety Update advises monitoring B12 levels in patients on long-term treatment, particularly those with anaemia or peripheral neuropathy [17] Proton pump inhibitors (PPIs) and H2-receptor antagonistslong-term use reduces stomach acid necessary for B12 release from food [18] [19] Nitrous oxide (anaesthetic or recreational use) can inactivate B12 in the body [9] [21] Pregnant and breastfeeding women , particularly those following plant-based diets, should ensure adequate B12 intake to support foetal and infant neurological development

Results The loss of ALDH2 exacerbates MPTP-induced behavioral disorders and the loss of dopaminergic neurons in mice To investigate the impact of ALDH2 on mouse behavior and dopaminergic neuron survivability in a PD mouse model, we separated the mice into four groups: WT group, ALDH2 knockout (ALDH2 KO) group, WT + MPTP group, and ALDH2 KO + MPTP, each group containing at least seven mice
The NHS offers resources and referrals for psychological support when needed