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It neutralizes free radicals directly inside the cell, supports the liver's detoxification pathways, and regenerates other antioxidants including Vitamin C and Vitamin E so they remain active longer

In fact, one nutrient, L-carnitine , is so potent that researchers say it has the potential to replace statin drugs as a treatment for some CVD patients

Similar to the atypical ADH enzymes, this causes a buildup of acetaldehyde and the associated symptoms, except significantly worse

Key Points Anal fissures present with intense pain post-defecation, as well as potential bleeding or itching Risk factors include constipation and IBD Most cases can be managed conservatively with medical management Consider investigating for underlying causes for those with anterior fissures or recurrent disease