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A post-RYGB patient with serum B12 below 100 pmol/L may need eight to twelve weeks of aggressive repletion, sometimes with intramuscular injections, before I am comfortable operating
Nutritional products that have been documented to increase erythrocyte GSH/GSH biosynthesis include high-quality whey protein preparations, -lipoic acid, curcumin, oral liposomal GSH, nebulized GSH, and to a lesser extent, N-acetyl-L-cysteine
I take them as soon as I realize I have had an exposure.
Assists intracellular and mitochondrial antioxidant processes
Palmery, M., et al., Oral contraceptives and changes in nutritional requirements
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