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However, GSH depletion led to either unchanged or decreased mRNA levels of these enzymes under both diets (Figure 3, A and B), indicating that fatty acid utilization was not upregulated

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Since several studies point to an involvement of oxidative stress in the development of DPN, the antioxidative potential of B 12 suggests that B 12 administration may be justified, not only for the therapy of overt DPN, but also in early stages of DPN, or even for prevention of DPN when cellular oxidative stress is present but symptoms are mostly absent