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This effect is attributed to MK-677s ghrelin-mimetic properties and its downstream impact on metabolic signaling

Xiong et al., 2023)

Again, this impairment is effectively bypassed by supplementation with gamma-glutamylcysteine, which can be transported into cells where it will be rapidly converted to GSH by GSH synthase

Next up: Vitamin B2 aka riboflavin

immediate labs if new medications are added or symptoms develop If ALT/AST rise above 2x upper limit of normal: Hold both agents, investigate, and reintroduce one at a time after normalization This schedule is conservative

Remember, that like all supplements, the oral variety is not subject to review and approval by the FDA.