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Abbreviations GSH: Glutathione TTH: Tension-type headache HC: Healthy control MRS: Magnetic resonance spectroscopy MEGA-PRESS: Mescher-Garwood Point Resolved Spectroscopy ROC: Receiver operating characteristic AUC: Area under the curve MIDAS: Migraine Disability Assessment HIT-6: Headache Impact Test-6 CRLB: Cramr-Rao lower bounds FWHM: Full width at half maximum Glu: Glutamate mI: Myo-inositol tCho: Total choline NAA: N-acetylaspartate tNAA: Total NAA ROS: Reactive oxygen species NAC: N-acetylcysteine References Steiner TJ, Stovner LJ, Jensen R, Uluduz D, Katsarava Z (2020) Migraine remains second among the worlds causes of disability, and first among young women: findings from GBD2019

This "metabolic buffering" role helps maintain the CoA/acyl-CoA ratio essential for TCA cycle function [1]

The reason: microneedling increases absorption up to 10-fold

Limit the number of punctures through the rubber stopper, as repeated puncturing can introduce contaminants and causes rubber coring (small rubber particles breaking off into the solution)