In this phase, enzymes in the liver chemically modify fat-soluble compounds, including environmental exposures, metabolic byproducts, and hormones, into intermediate forms
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For example, the open-label mB12/LDFA study selected individuals with poor glutathione and methylation status to potentiate the ability of the treatment to change these parameters (James et al., Like the participants in the mB12/LDFA study, participants in the BH4 study demonstrated some less favorable biomarkers at baseline, but these biomarkers were related to chronic oxidative stress and inflammation