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Citric acid, a central intermediate in the tricarboxylic acid (TCA) cycle, has demonstrated glucose-lowering effects in animal studies, significantly reducing blood glucose and insulin resistance while enhancing insulin sensitivity (84)

Elevated Hcy of endogenous origin, whether genetic (MTHFR) or epigenetic (SAMe related), determined in part by nutrition, assisted by CVO/BKN induced permeability, and characterized by altered 1) mitochondrial function, 2) neurotransmission, 3) enzyme activity, may represent the final common pathway

If you have risk factors for pancreatitis, including gallbladder disease , heavy alcohol use, very high triglycerides, or history of pancreatitis, discuss more frequent monitoring with your healthcare provider

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doi:10.1159/000116050 Schneider-Helmert D