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The best evidence of the positive effects of Ach on adult neurogenesis have come from studies that have performed cholinergic forebrain lesions which resulted in decreased proliferation, survival of NSCs, and new neurons in the dentate gyrus as well as deficits in learning and memory [134, 135]
Medical supervision helps ensure appropriate dosing, monitoring for side effects and integration with physiotherapy, nutrition and lifestyle interventions
From an experimental design perspective, the key hypothesis is not that the peptides duplicate each others effects, but rather that they might support different rate-limiting steps in repair, such as cell recruitment to the injury site, fibroblast function, extracellular matrix organization, angiogenesis, and the transition from inflammatory signaling to remodeling
While these interventions provide temporary relief for many people, they do not always lead to complete resolution
