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A structural model of the interaction suggests that the active molecule is a hydrolyzed form of PL (hPL) which forms a complex with GSH in the enzyme active site
This leads to bile stasis, where bile sits in the gallbladder for too long, giving cholesterol crystals more time to form into stones
For patients considering compounded GLP-1 therapy through PlexusDx, understanding storage stability becomes part of treatment literacy
But if a person is already taking certain antidepressants such as fluoxetine (Prozac) or duloxetine (Cymbalta), and adds methylene blue to their routine, it can result in a dangerous and sometimes fatal interaction
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