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Description
This investigator's evaluation of a drug that is still undergoing the pre-approval process makes a Phase 4 trial unlikely

There is substantial evidence that Nrf2ARE pathway activators show greater resistance to neurotoxins including MPTP, paraquat and rotenone in both in vivo and in vitro models (Wang et al

The limited human evidence is the elephant in the room

Additionally, betaine can protect mitochondrial function by protecting complex II activity and inhibiting apoptosis by inhibiting caspase-3, thereby maintaining hepatocyte structural integrity (21, 126, 131, 132)

doi: 10.1080/07315724.2001.10719040
