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Phosphorylation of glucose by hexokinase is not only required to drive glucose into the glycolytic pathway but also into the pentose phosphate pathway, the major NADPH generating metabolic pathway
Each round consisted of 3 days of DMSA/placebo (as in Phase 1), followed by 11 days of no DMSA/placebo
Reasons may include: Dose too low Irregular injection schedule Diet and lifestyle inconsistencies Underlying hormonal or metabolic issues If progress is slower than expected, a provider may review: Relevant labs and health markers Medication tolerance and dosing Nutrition, movement, sleep, and stress patterns Whether the care plan should continue, change, or stop This is why provider-guided monitoring can help personalize care and support safer treatment decisions
Some practitioners recommend administering injections in the morning to align peak methyl donor availability with daytime metabolic activity, but clinical evidence supporting timing-specific benefits is limited