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In accordance with another embodiment, S-acetyl-glutathione (SAG) is provided in a delayed release delivery system designed to protect the molecule from degradation by gastric acids in the stomach and carry the SAG to the small intestine where it can be readily taken up intact by chylomicrons in the gut

E.JiangL.et al (2019)

The patient is already going downhill, which is why the B12 shots are prescribed