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Glucocorticoids perform dual chrono-regulatory functions: entraining circadian oscillations in cytokine production (129132), and exerting phase-dependent immunosuppression through inhibition of pro-inflammatory transcription factors (including NF-B) (133136).Preserved circadian cortisol rhythmicity following stroke acts as an endogenous brake on neuroinflammation, thereby limiting persistent BBB dysfunction (137).Clinical investigations demonstrate that blunted circadian cortisol rhythmicity (non-dipping pattern) shows significant positive correlation with both the extent and progression of post-stroke BBB pathology (138).These findings suggest that targeting clock genes to optimize the timing of neuroendocrine factor release (e.g., aligning glucocorticoid peaks with ischemic injury cycles) may provide a strategy for BBB stabilization

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This fundamental characteristic makes a true vitamin B12 overdose exceptionally rare in clinical practice

The human gut microbiota, also known as the second brain, has an important role in the CNS by regulating it through chemical, immunological, hormonal, and neurological processes