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doi: 10.1016/j.freeradbiomed.2018.06.010 62 RobertsCKSindhuKK

DMSO is a powerful free radical scavenger and its utilization in a condition of oxidative stress may prevent the accumulation of free radicals that consumed the enzymatic antioxidants and reduce their levels (Cos et al., 2017)

You would only know because your results stopped or your side effects disappeared, both signs that the active compound has broken down

The change was -2.7 [95% confidence interval (CI): -3.9, -1.5] in the mecobalamin 50 mg group and -4.6 [95% CI: -5.8, -3.4] in the placebo group, with a difference in change of 2.0 (95% CI: 0.4, 3.5