10.3389/fphar.2016.00253
Hepatic synthesis of glutathione and nutritional substrates, co-factors, and other nutrients that influence metabolism 5-Methyl-tetrahydrofolate (5MTHF), system alanineserinecysteine (ASC), cystathionine--synthase (CBS), cystathionine gamma-lyase (CGL), electrophile response element (EpRE), glutathione-S-transferase (GST), glutamate cysteine ligase (GCL), glutathione reductase (GRx), glutathione peroxidase (GPx), glutathione synthetase (GSx), hydrogen peroxide (H 2 O 2 ), Nuclear factor erythroid factor-2-related factor 2 (Nrf2), S-adenosylmethionine (SAMe), S-adenosylhomocysteine (SAH), tetrahydrofolate (THF), thioredoxin reductase 1 (TRR1), water (H 2 O), cystine/glutamate antiporter system (x c )
In order to maintain high carnitine levels, you also need to give your body enough GBB so that it maintains this simple equilibrium in favor of higher carnitine
The period when one medication is washing out and the other has not yet reached therapeutic levels creates a window of reduced glycemic control