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Biochemistry and pharmacology of S-adenosyl-L-methionine and rationale for its use in liver disease
Authors Chawla RK, Bonkovsky HL, Galambos JT
Journal Drugs 1990;40 (Suppl 3):98-110
Type of article Review
End results
  • Cirrhotic patients have acquired metabolic block in hepatic conversion of methionine to SAM-e
  • Limited availability of hepatic SAM-e may lead to cysteine and choline deficiencies
  • SAM-e supplementation facilitates endogenous cysteine and choline production and correct negative nitrogen balance
  • SAM-e may be considered an essential nutrient required to normalize overall hepatic transmethylation and transsulfuration activities
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