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Then, they need supplements

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It is important to note that it has not been approved by the FDA for use in humans, which means it is not legally classified as a medication in the United States

In particular, when homocysteine is attached to a protein called syntaxin 17, it blocked the protein from performing its role of transporting and digesting fat (known as autophagy, an essential cellular process by which cells remove malformed proteins or damaged organelles) in fatty acid metabolism, mitochondrial turnover, and inflammation prevention

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the compounds and formulations should not be treated as interchangeable