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doi: 10.1186/s12967-023-04554-0 21 WangHAhnKSAlharbiSAShairOHArfusoFSethiGet al

A post-hoc analysis of the CARES clinical trial was recently published, showing a reduction of CKD progression (a drop in GFR of 0.5 ml/min/year) in patients with gout treated with allopurinol or febuxostat who maintained a UA level of less than 6 mg/dL for a median of 2.5 years.50 These data could suggest that the deposits of monosodium urate crystals in the kidneys may be responsible for the progression of kidney disease

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The optimal timing for oral glutathione is 12 hours before drinking begins (to pre-load hepatic reserves), immediately before bed (to support overnight acetaldehyde clearance), and upon waking (to address residual oxidative stress)

During niacin treatment, fasting glucose, insulin and HOMA1-IR (insulin resistance score based on blood glucose and insulin) increased in some individuals up to 1.9-fold after niacin dose of 500 mg, suggesting increased insulin resistance (Fig