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May also catalyze a transpeptidation reaction in addition to the hydrolysis reaction, transferring the gamma-glutamyl moiety to an acceptor amino acid to form a new gamma-glutamyl compound (PubMed:21447318)
Factors influencing effectiveness include the degree of weight regain, time since surgery, type of bariatric procedure performed, adherence to lifestyle modifications, and individual metabolic characteristics
Food Nutrition Bulletin 29 (2_Suppl
Oral supplementation is not as effective as intravenous administration because the supplements go through the digestive system, reducing their bioavailability
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