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The glutathione helps protect the cells that line the gut from oxidative damage, while the probiotics work to keep the microbial community in balance

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Similarly, BCAA elevation in DKD reflects both impaired renal catabolism (reduced mitochondrial BCKDH activity) and insulin resistance-driven alterations (133), with standard eGFR adjustment being insufficient as GFR lies on the causal pathway between metabolites and outcomes