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Because L-DOPA may increase the oxidative stress causing dopaminergic neuron loss in PD, and since bilirubin is a well-known antioxidant, an increased bilirubin level has been interpreted as a possible protective response to the disease [48]

And if you've been eating a plant-based diet for an extended period without supplementation, testing is overdue

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Because neurons are long-lived, post-mitotic cells with limited regenerative capacity, even subtle impairments in protein quality control can lead to cumulative proteotoxic stress and irreversible cellular damage