[121] Age is also a contributing factor: elderly individuals are often achlorhydric due to reduced parietal cell function in the stomach, increasing their risk of vitamin B 12 deficiency
In the CNS, GSH is synthesized primarily by astrocytes and transported to neurons, where it provides oxidative resistance (Dringen and Arend, 2025)
What is more critical, CCAAT/enhancer binding protein /asparagine endopeptidase (C/EBP/AEP) signaling pathway, cleaving Tau and -amyloid precursor protein in the brain and resulting in the pathogenesis of AD, was proved to have existed in the gut of AD mouse model and possess a mutual interaction with AD progression in the brain
27 Thus, it remains uncertain how vitamin B 12 deficiency may be linked to dementia and what the potential benefits are of treatment with supplementation
Relative contraindications (metformin use, PPIs, H2-blockers) warrant monitoring but do not always prevent treatment
The triple-agent approach is what makes Trimix so effective