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Altered gene expression of the astrocytic lactate efflux transporter (monocarboxylate transporter 4, SLC16A4) together with reduced lactate levels found in the spinal cord of hSOD1 G93A mice further suggest that metabolic interaction between neurons and astrocytes may be disrupted in ALS (Ferraiuolo et al., 2011)

Graham ID, Jette N, Tetroe J, Robinson N, Milne S, Mitchell SL: Oral cobalamin remains medicine's best kept secret

Popular Treatment Alternatives If injections arent your first choice, there are several other effective clinical options: Chemical Peels: These use specialized acids to exfoliate the top layer of skin, revealing a brighter, more even-toned layer underneath

GHK-Cu is well-tolerated across skin types, though formulators should recommend patch testing for sensitive skin consumers

Studies have shown that it remains effective and works systemically this way (1, 19)