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Energy Supply for the Brain: Like muscles, the brain relies on ATP

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Glutathione synthetase deficiency has been incriminated as the cause of chronic hemolytic anemia alone (due to isolated RBC enzyme deficiency) and as the cause of a generalized syndrome (due to enzyme deficiency in many tissues) characterized by mild hemolytic disease, severe metabolic acidosis, and mental deterioration

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For someone with healthy B12 levels, the smarter move may be semaglutide alone, with B12 added only if testing shows a need