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HbA1c, which reflects average glucose over 2-3 months, shows full treatment effect by month 3-4

Reduced expression of PGC-1 partly underlies mitochondrial changes and correlates with neuronal loss in multiple sclerosis cortex

Preclinical studies suggest it could have applications in Alzheimers disease, dementia, Parkinsons disease, and traumatic brain injury, while biohackers and peptide researchers are exploring it as a nootropic for memory and learning enhancement

However, recent policy changes are reshaping access, especially in California