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This difference is significant and apparent during the second timepoint where low carnitine patients experienced an increase in % seizure change as opposed to the % seizure reduction expected from undergoing MAD therapy

Glutamyl-transpeptidase catalyzes the condensation of glutathione and the disulfide cystine to form gamma-glutamyl-cystine, which is then taken up and reduced intracellularly to form cysteine and gamma-glutamyl-cysteine (49)

J Neurochem 2010

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