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Terasaki M, Nagashima M, Nohtomi K, Kohashi K, Tomoyasu M, Sinmura K, et al

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These include familial Alzheimer's disease, SCA17 (dominant inheritance)

But emerging research points to a second, more direct pathway

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A 2026 scoping review found some fibers (like dextrins) showed the most consistent effect, but the studies were small and short, so the picture is still limited