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SAMe has been shown to provide a benefit in a variety of liver disorders (modeled in experimental animals, in humans, and in dogs and cats), the molecular basis of SAMe's protective effects have been demonstrated in vitro using hepatocyte cell cultures
Both forms are designed to improve delivery, but they have not been adequately compared against each other in robust human trials
The 2016 Zubair trial with 50 Pakistani women represents the only placebo-controlled study, showing 37.5% completion rate versus 18.7% placebo (p=0.054), which failed to reach statistical significance
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