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Betaine is a modified nonessential amino acid obtained from dietary sources (eg, beets, spinach, wheat germ, whole grains) and is also formed endogenously in the liver and kidneys from dietary choline, which is found in meat, poultry, eggs, fish, and dairy foods.10 The processes of transsulfuration and remethylation are synchronized to tightly regulate homocysteine levels

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Maintenance Dose: Increase to 0.5 mg once weekly after 4 weeks

Amphiphile modification improves the delivery of conjugated cancer vaccines and adjuvants to the lymph nodes, leading to 30-fold increases in T-cell priming and enhanced anti-tumor efficacy (238)

doi: 10.5435/JAAOSGlobal-D-25- 6: Mayfield CK, Bolia IK, Feingold CL, Lin EH, Liu JN, Rick Hatch GF, Gamradt SC, Weber AE