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Asymptomatic smokers and stable COPD patients showed increased GSH levels in bronchoalveolar lavage, while patients with severe/very severe exacerbation periods had significantly decreased levels (101)

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However, gastrointestinal side effects (nausea, constipation, diarrhea) still occur, typically mild to moderate in severity

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Kraemer found that supplementing with carnitine for 21 days produced an increase in the resting content of the androgen receptors that bind with testosterone, indicating a better anabolic environment