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All participants completed the following additional self-report questionnaires: a

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Naunyn Schmiedebergs Arch Pharmacol 397(8):61656175 Colwell MJ, Tagomori H, Chapman S, Gillespie AL, Cowen PJ, Harmer CJ, Murphy SE (2022) Pharmacological targeting of cognitive impairment in depression: recent developments and challenges in human clinical research

Many nutrients have their action INSIDE the cell, which means that testing serum and blood levels just give us an indication of what may be available but that is assuming everything else is working properly: cellular activity, enzyme activity, receptor activity, etc