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J Thorac Cardiovasc Surg 158(2):630-631, 2019

The clinical literature does not support oral Sermorelin as an effective alternative to subcutaneous injection

Fumarate binds with antioxidant glutathione to produce succinated glutathione (GSF), which is an alternative substrate to glutathione reductase (GR) and downregulates NADPH levels while promoting ROS production [30]