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10.1016/j.celrep.2020.107843 Cell Rep

Yes, as long as you can handle lactose

162 The mechanisms of intestinal absorption and hepatic uptake of exogenously administered SAM, and the mechanism of its hepatoprotection remain unknown

For example, a patient with a normal baseline may have drug interrupted at 5 x ULN, whereas a patient with a baseline ALT of 2 x ULN will reach interruption at 7 x ULN, resulting in the degree of permitted ALT elevation before interruption being proportional to the baseline ALT value