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In these surgeries, either the parts of the stomach that produce gastric secretions are removed or they are bypassed
It is the precursor to the amino acid cysteine and the pervasive methylation agent rSAM
Some protocols recommend taking it on an empty stomach, first thing in the morning, to maximize absorption and align with the natural fasting state when lipolysis is already elevated
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In conditions marked by the absence of CBS, Hcy tends to accumulate excessively, leading to hyperhomocysteinemia (HHcy) (Poddar 2021)
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