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Gastrointestinal side effects occurred but rarely reached severity levels requiring treatment discontinuation

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Tesamorelin Mechanism Type: GHRH analog Action: Mimics endogenous GHRH to directly stimulate the pituitary Primary Benefit: Increases GH to promote lipolysis and VAT reduction This direct pathway makes Tesamorelin highly targeted for fat loss and metabolic correction

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Glutathione metabolism in disease GSH synthesis and its precursors GSH is synthesized from its 3 amino acids with a biosynthetic pathway shown in Figure 4

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This can be prevented by derivatizing GSH with the alkylating agent N -ethylmaleimide (NEM) to form GS-NEM before acid deproteination, followed by back-extraction of excess NEM from the deproteinized samples with dichloromethane

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