For patients with less severe cognitive problems, specifically mild cognitive impairment or early-stage Alzheimer's disease, the clinical trial evidence is slightly more positive but also less reliable [11].
However, a very small percentage of B12 from a supplemental dose is absorbed by passive diffusion, rather than by intrinsic factor, such that vegans can make up for taking B12 only once per day, or even only once per week, by taking larger doses than normally provided by food
Summary Keywords glutathione, antioxidants, psychiatric disorders, suicide risk, mood disorders, oxidative stress Citation da Silva Schmidt PM, Trettim JP, Longoni A, Grings M, de Matos MB, de Avila Quevedo L, Ardais AP, Nedel F, Ghisleni G, Leipnitz G, Pinheiro RT and de Assis AM (2023) Can glutathione be a biomarker for suicide risk in women 18 months postpartum
For example, the endoplasmatic reticulum has a more oxidizing environment (E GSSG/2GSH = 180 mV) with respect to the cytosol (E GSSG/2GSH = 232 mV) in order to support and ensure proper protein folding and formation of necessary disulfide bridges [108,157]
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(24) As you can see, anyone following a strict vegan diet may struggle to obtain adequate levels of vitamin B12 in their daily diet