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Step 3: SAH in turn is converted to homocysteine by the enzyme S-adenosylhomocysteine hydrogenase (SAHH), which also produces adenosine

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In the SELECT trial, patients did not enroll for the specific purpose of weight loss and received standard of care covering management of CV risk factors, including medical treatment and healthy lifestyle counseling, but without a specific focus on weight loss

This makes it great for patients with cyanide poisoning , as it can help as an antidote