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Inclusion criteria required participants to be over age 18, read and speak English, have a Hoehn & Yahr score between 2 and 3 (bilateral disease, not severely disabled), and have three or more of the required positive criteria for the diagnosis of definite PD from Step 3 of the UK Brain Bank Diagnostic Criteria for PD

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By targeting NNMT and supporting NAD+ levels, it addresses cellular energy metabolism rather than manipulating appetite or stimulating the nervous system

Similarly, the methylated derivative of resveratrol, pterostilbene, has been observed to upregulate Nrf2, HO-1, GSH, and GPX4 while reducing ACSL4 expression and iron content in H 2 O 2 -treated COV434 and KGN cells, suggesting a potential anti-ferroptotic effect ( In addition to the Nrf2/HO-1/GPX4 pathway, other pathways have been implicated

The pcDNA3.1 MPO plasmid and gene primers were synthesized by Sangon Biotech (Table S3)