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Randomization was stratified based on diagnosis of either FSAD, HSDD, or mixed
Methylmalonic Acid (MMA) Methylmalonic acid detects early vitamin B12 deficiency
Increase intake of alpha lipoic acid rich foods such as organ meats, beef, Brewers yeast, broccoli, spinach, Brussels sprouts, peas and tomatoes Avoid processed foods and sugar Drink plenty of water Eat selenium rich foods
Extractions with 1-hexanol were performed in parallel to assess the possible presence of glutathione transferase activity which could also transform the substrate REF 1
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