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Hydration all day Aim toward the 2 to 3 liters (8 to 12 cups) unless your clinician has you on fluid limits
The optional behavioral therapy component to our program is designed to help make this process sustainable
However, the understanding of the stereochemistry of the MSA-DH reaction is crucial for the elucidation of the overall carnitine degradation pathway: L-malate might be directly channeled into the tricarboxylic acid cycle whereas D-malate would require a specific oxidation step that potentially yields the central metabolite oxaloacetate or pyruvate
Anti-Doping Agency (USADA)
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