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These also control neural development

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[14] An important human study , conducted in men and women over the age of 65 suffering from mild cognitive impairment, showed that the group taking ALCAR had significantly better scores on a battery of cognitive tests than those who got a placebo

NO promotes mitochondrial biogenesis primarily by activating key transcriptional regulators, including peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1), nuclear respiratory factor (Nrf-1), nuclear factor erythroid 2 -related factor 2 (Nrf-2), and mitochondrial transcription factor A (TFAM)