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In addition, lactulose converts freely diffusible ammonia into non-absorbable ammonium ions, thereby reducing intestinal ammonia absorption, while its cathartic effect enhances fecal nitrogen excretion and lowers systemic ammonia levels [122]

The formation of ROS caused by the activation of Nox4 aggravates the decomposition of cartilage (Rousset et al., 2015)

HPLC purity assay Mass-spec identity Measured content 11.68mg Test date 31/05/2026 Current batch NVEP10-01052026 Method HPLC LC-MS Certificate of Analysis available Full third-party report shown for the equivalent Epithalon vial

Egerton A, Brugger S, Raffin M, Barker GJ, Lythgoe DJ, McGuire PK, et al