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Efficacy of sublingual versus oral vitamin B12 supplementation for the treatment of vitamin B12 deficiency–A prospective randomised open label study - Clinical Nutrition ESPEN

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Key findings included: Intranasal delivery at 120 mcg/kg administered prior to and following occlusion Significant recovery of motor coordination in rotarod testing over 21 days post-stroke Brain infarction volume in DSIP-treated animals was smaller than in vehicle controls, though the difference did not reach statistical significance Proposed mechanism involves rescue of motor cortex neurons and subcortical motor control structures Ischemia-Reperfusion Injury Research on DSIP and its analogue KND in ischemia-reperfusion models demonstrated[10]: Reduction of myocardial infarction area by approximately 32% with DSIP treatment DSIP analogue KND achieved up to 55% reduction in cardiac infarction area in rodent models Brain infarction volume reduction in stroke models using intranasal analogue delivery Antioxidant mechanisms proposed as a contributing protective pathway Stress Response and Antistress Research Cortisol and HPA Axis Studies Multiple animal studies have examined DSIP’s influence on the hypothalamic-pituitary-adrenal (HPA) axis stress response[4]: ACTH suppression and stress-hormone modulation observed in rodent models Decreased stress-induced overproduction of free radicals in the CNS Improved blood supply to the brain of stressed animals subjected to ischemic conditions Stress-protective effects partially attributed to mitochondrial oxidative phosphorylation enhancement Pain Modulation Research Animal studies have documented antinociceptive effects of DSIP[11]: Potent analgesic effects when administered intracerebroventricularly or intracisternally in mice A small pilot clinical study in 7 patients with chronic pain (migraine, tinnitus, psychogenic pain) reported significant pain reduction in 6 of 7 participants following repeated intravenous administration Simultaneous reduction in depressive symptoms observed in the pilot group This pilot study is highly limited by small sample size and lack of placebo control, and cannot be interpreted as clinical evidence

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