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O2 so formed is catabolized to produce H2O2 by superoxide dismutase (SOD), a metalloprotein

Under a forage-based dietary scenario, RPM supplementation improved the growth performance of Charolais bulls, with a more pronounced effect when diets were formulated with high protein content (16.2% CP) (Cantalapiedra-Hijar et al., 2020)

Peripheral immune cells such as T lymphocytes, monocytes, and macrophages thereby infiltrate the CNS and worsen neuroinflammation (Zhang, 2025)

Conclusion Fatigue poses a substantial challenge for people with MS, affecting a large majority, with more than 50% of patients considering it their most disabling symptom