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Oral S-adenosylmethionine in the symptomatic treatment of intrahepatic cholestasis. A double-blind, placebo-controlled study
Authors Frezza M, Surrenti C, Manzillo G, Fiaccadori F, Bortolini M, Di Padova C
Journal Gastroenterol 1990;99:211-215
Comparator Placebo
# subjects 220
# on SAM-e 110
Dose 1600 mg/day
Duration 2 weeks
End results
  • Serum markers of cholestasis significantly decreased in patients receiving SAM-e (P < 0.01)
  • Serum levels were significantly lower in SAM-e-treated patients than placebo-treated patients (P < 0.01)
  • SAM-e patients reported a significant improvement in subjective symptoms such as pruritus, fatigue, and feeling unwell (P < 0.01)
  • SAM-e was tolerated as well as placebo
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