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Consistently, sex-specifically genetically predicted acetyl-carnitine was related to higher triglycerides in men and women (Additional file 2: Fig

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Effect of non-pharmacological interventions on cognitive function in multiple sclerosis patients: a systematic review and network meta-analysis

in tandem with other human factors such as the human leukocyte antigen (HLA), epigenetics, preexisting comorbidities (i.e., T2DM, CVD, obesity), age, preceding systemic impairments (i.e., hyperinflammation, micro-thrombosis, fibrosis, dysbiosis, autoimmunity, etc.), and socio-demographic factors (i.e., food security, environment, access to medical care) 22,27,28

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eFood 1:8593 Coe S, Cossington J, Collett J et al (2019) A randomised double-blind placebo-controlled feasibility trial of flavonoid-rich cocoa for fatigue in people with relapsing and remitting multiple sclerosis