1 round teaspoon up to 3 times per day
A recent study suggested that there may be multiple reasons for remyelination failure in MS patients, according to lesion stage: in a subset of active lesions, a lack of myelin sheath formation was observed despite the presence of mature OLGs, whereas in inactive lesions, OLG loss and a hostile microenvironment were identified as the major causes of remyelination failure (He et al., Subcortical lesions display more extensive remyelination than periventricular and cerebellar lesions, which are often poorly remyelinated (Goldschmidt et al., 2017), as clearly shown by the analysis of leukocortical regions, which embrace both white and gray matter (Chang et al., 2001
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The histological hallmark of remyelination is the observation of shadow plaques, visible because the regenerated myelin sheath is thinner than the original one
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