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This was thought to be due to several factors

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JAMA (2019) 321:1466

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Glutathione can be consumed in multiple forms, including oral supplements, intramuscular injections, and IV therapy

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Aside from enzymes that utilize TPP as a cofactor to oxidize their substrates, transketolase enzymes which catalyze the transfer of a 2-carbon glycoaldehyde fragment also use TPP (Figure 5)

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