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At normal therapeutic doses (up to 3,0004,000 mg/day in adults), hepatic glutathione stores are typically adequate for NAPQI neutralization and rapid regeneration
The consultation will include all pertinent medical history, all of their current medications and usually lab work in advance of the consult to improve the assessment
Betaine is also known as trimethylglycine
Some studies suggest the quinolinium structure is sufficiently NNMT-selective that it should not broadly deplete SAM, but the wider metabolic picture remains an active research consideration
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