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Subclinical deficiency common in people who drink alcohol, eat refined carbohydrates regularly, or take metformin produces fatigue, brain fog, and cognitive sluggishness that is almost instantly reversible with B1 repletion

4145 Studies have shown that GLP-1 and its receptor agonists not only inhibit the levels of total cells, neutrophils, macrophages, eosinophils, lymphocytes, TNF-, IL-4, IL-5 and IL-13 in mouse alveolar lavage fluid 46 but also mediate anti-inflammatory effects through stress-activated protein kinase (JNK) inhibition, signal transducer and activator of transcriptional activator protein 3 (STAT3) activation and cAMP/PKA/NF-B signaling pathways, reducing the release of pro-inflammatory markers (iNOS, IL-1, IL-6, TNF- and monocyte chemotactic protein-1 (MCP-1), MMP-2, MMP-9, ROS) and increasing the release of anti-inflammatory markers (IL-10, mannose receptor-1 (MRC-1), arginine-1 (Arg-1) release as well as prostaglandin E2 (PGE2) and cyclooxygenase 2 (COX2) mRNA and COX2 protein levels, 42,46 thereby achieving a reduced inflammatory response

they havent yet reached the full 2.4mg maintenance dose