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[20] [21] [22] [23] It does this potentially through several mechanisms: by inhibiting mast cell production
Fumarate, or fumaric acid, is a naturally occurring organic acid that serves as a direct intermediate in the Krebs cycle (also known as the Citric Acid Cycle or TCA cycle)
When a PBM contract transition happens (as with the CalPERS example above), a patient's previously preferred pharmacy can change without either the prescriber or patient initiating anything worth a quick verification at the next visit for patients on maintenance medications, rather than assuming last year's pharmacy routing still applies
Clinics often market them as metabolism boosters, claiming they enhance fat burning
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