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482 Patients who receive HD may be at risk of the development of carnitine deficiency as a result of loss of carnitine during the dialysis procedure, in addition to possible reductions in dietary intake and endogenous synthesis

Glutathione deficiency produced by inhibition of its synthesis, and its reversal

PMID: 14737078

Because the digestive process can reduce the peptides bioavailability, providers often recommend troches as a secondary option rather than a first-line choice