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A randomized, placebo-controlled study in 52 subjects (mean age, 30 years) with relapsing-remitting multiple sclerosis found an increase in total antioxidant capacity in blood with lipoic acid supplementation (1,200 mg/day for 12 weeks) yet not in the activity of specific antioxidant enzymes (superoxide dismutase and glutathione peroxidase) (97)
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This, in turn, reduces mitochondrial dysfunction and NOX activity persistently activated by chronic hypoxia, suppressing abnormal ROS bursts at the source
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These contrary results may be partly attributed to the opposite inflammatory activities produced by different immune components through various crosstalk signals
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