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In contrast to human tissue and cultured cells, it has been demonstrated that Nrf2 activity is consistently elevated in the spinal cord of SOD1 G93A rodent models of ALS, and the increase of Nrf2, thioredoxin, HSP-70, HO1, NQO1, GCLC, and GCLM protein levels follows disease progression in the lumbar spinal cord but not cortex [264, 265]

This results in more vitamin C in cells to protect the body by boosting immunity, enhancing collagen production, and providing greater antioxidant protection

However, a randomized controlled trial by Donnell et al