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Clinical and preclinical studies have demonstrated significant effects on body weight reduction and metabolic regulation, generating considerable scientific interest in its potential role both as a standalone therapy and in combination with GLP-1 receptor agonists for obesity and metabolic disease research

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383,384 Importantly, the activation of AMPK reduces the expression of phosphoglycerate mutase 5 (PGAM5), which plays a promotive role in cell necrosis by contributing to mitochondrial dysfunction and the production of reactive oxygen species (ROS)

Vitamin B12 (cobalamin) is a water-soluble vitamin that plays a vital role in brain function and the production of DNA and red blood cells

& Gler, S