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Protein turnover releases - N -trimethyllysine, which is hydroxylated by - N -trimethyllysine hydroxylase in a reaction requiring Fe 2+ and ascorbate, producing -hydroxy-- N -trimethyllysine
This temporarily alters plasma nutrient concentrations without necessarily altering tissue nutrient levels
However, the price of the product has not been a consideration when FDA removes a product from the drug shortage list
S2CID 30929036
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