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Your body makes small amounts of ALA inside cells, where it stays bound to enzyme complexes and doesnt circulate freely

Pathophysiological Mechanisms of Ocular Nutrition Oxidative Stress and Antioxidant Defense Systems The retinal environment, particularly the macula, exists under conditions of high oxidative stress due to intense light exposure, elevated oxygen consumption, and abundant polyunsaturated fatty acids

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Inactive B12 : The standard test measures total B12, but cannot distinguish active from inactive forms

In Europe and the United States, approximately 2.5 million people develop TBIs each year (99)