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The answer often comes down to peptide vs GLP-1 mechanism

For effective PD treatment, symptomatic agents (levodopa) and disease-modifying compounds (antioxidants or anti-inflammatory agents) could be co-delivered to enhance the treatment outcomes 145

Bilberry polyphenols also have potent anti-inflammatory and free radical-scavenging actions (Subash 2014

Adults (19-64 years) are usually recommended to consume about 1.5 micrograms a day or more if they are not getting sufficient B12 from their diets

Conclusions Both treatments improved patient symptoms, but neither resulted in a significantly better outcome in this series of patients