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It requires moderate protein and high daily fat intake, as well as very restrictive carbohydrate intake

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NACa precursor of glutathioneplays a pivotal role in neutralizing hydrogen peroxide, a byproduct of SOD1 triplication in T21 49,50

In another recent larger but uncontrolled prospective study in gastroparesis [81], at 12 months symptoms had improved in 56% of participants who underwent G-POEM and gastric emptying, measured by scintigraphy, normalised in 47% with a moderate correlation between symptom improvement and acceleration of gastric emptying [81]