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This vasodilatory mediator improves cerebral perfusion and reduces vascular inflammation, thereby preserving the integrity of the neurovascular unit [280]

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ACV which may curb appetite and inhibit fat production by blocking citrate lyase, supporting modest weight loss

Vegans and strict vegetarians must take daily B12 supplements or consume fortified foods, as plant-based diets contain negligible vitamin B12

The study design that could establish causation faces ethical and logistical barriers that have not been resolved