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Limited case series have suggested the therapeutic effect of sildenafil on HAPE

Unlike exogenous antioxidants derived from fruits and vegetables, glutathione is synthesized in liver cells

Human data are limited and mixed: Clinical studies have largely assessed safety and metabolism, while weight-related outcomes were modest and inconsistent

This large diversity is thought to be unique among classes of small molecule endobiotics, however, the evolutionary forces driving the variation remain poorly understood
