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Benfotiamine + donepezil is a combination therapy being investigated for the treatment of Alzheimer's disease. Benfotiamine is a synthetic derivative of thiamine (vitamin B1) with improved bioavailability, while donepezil is an acetylcholinesterase inhibitor. The combination has shown synergistic effects in delaying cognitive decline in patients with mild to moderate Alzheimer's disease, demonstrating better efficacy than donepezil monotherapy. The mechanism involves donepezil increasing acetylcholine levels in the brain while benfotiamine likely provides neuroprotective effects through thiamine-dependent pathways.
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