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However, elevated MMA and homocysteine concentrations may persist in patients with cobalamin concentrations between 200 and 350 pg/mL
LuLZhangJXieYGaoFXuSWuXet alWearable health devices in health care: narrative systematic review

One possible explanation for these mixed effects of selenium supplementation is that different nutritional forms of selenium supplements were used in the recent negative study compared to previous studies with positive outcomes (163)

Glutathione works synergistically with other nutrients, particularly vitamin C, which helps recycle oxidized glutathione back to its active form
