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The results of in vitro experiment suggested that TS demonstrates both protective and restorative effects in relation to sensorineural hearing loss by regulating several genes related to hearing loss, including Transient Receptor Potential Vanilloid 1 (TRPV1) channel, T-type calcium channel (Cacna1h), and nerve growth factor (Ngf)

Current studies mainly focus on combinations with dietary control, exercise, and other weightloss agents, aiming to enhance efficacy and reduce side effects

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A deficiency in B12 can lead to a significant decrease in energy and exercise tolerance, along with fatigue