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If I had to guess, I would say it is a functionally inert string of amino acids with no real safety or efficacy signal at all

Eddie Hughes, FNP-BC Eddie is a board-certified Family Nurse Practitioner with 15+ years of clinical experience spanning emergency medicine, neurosurgery, hospital medicine, and regenerative medicine

doi:10.1002/chem.202003788

These active forms are crucial for several metabolic pathways in the body