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Since 2013 obesity is officially classified as a disease

Stephens FB, Marimuthu K, Cheng Y, Patel N, Constantin D, Simpson EJ, Greenhaff PL

This result agrees with studies exposing rodents to comparable altitudes and reporting elevated MDA levels, confirming that hypoxia elicits oxidative tissue damage 42,43

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Thats why many experts consider building it endogenously via NAC and glycine a more sustainable route