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Since renal medullary cells, whose role is to concentrate urine, are constantly exposed to extremely high levels of sodium chloride and urea, the accumulation of betaine in renal medullary cells helps balance the hypertonicity in interstitial fluid (Kempson et al., 2014)

It works by increasing muscle carnosine stores, which can increase by more than double after 2 weeks of supplementation

Journal of Leukocyte Biology, 55(2), 221226

It's how your body is able to detoxify