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Erythrocytes lack gamma-glutamyl transpeptidase and this enzyme activity also varies in other tissues

Cell Death and Dis (2020) 11(11):988

But serious side effects like allergic reactions are rare

MASLD/MASH can be caused by several factors, including a persons genetics, but both obesity and diabetes are major contributors

The downstream effect: restoring the balance between excitatory cholinergic signalling (contract) and inhibitory nitrergic signalling (relax) that controls gastric peristalsis