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Astaxanthin is a member of the carotenoid family has a powerful antioxidant effects that might protect against the oxidative stress of exercise and improves the ability of the body to reduce oxidative damage and improves the immune response 1, 2 , 16

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Research shows that the peptide can reduce inflammatory infiltrates, MPO activity, and histological evidence of inflammation

CD44 is known to be highly expressed in immune and some cancer cells 14 , while elevated hepatic expression of PrP defines its importance in Wilson disease

4.3 Symptomatic Treatment Symptomatic management of ALS is critical and many of the medications utilized for symptomatic management (Fig