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That limitation matters because cross-trial comparisons can be distorted by: different baseline populations different dose-escalation schemes different trial duration different background lifestyle support different endpoint definitions So while it is fair to compare mechanisms and published patterns, it is not rigorous to declare a final winner

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Tapering versus abrupt cessation The clinical trials did not specifically study tapering protocols, but physiological principles suggest a gradual dose reduction may produce a smoother transition than abrupt cessation

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An enzyme called lipoyl (octanoyl) transferase 2 catalyzes the transfer of the octanoyl moiety from octanoyl-ACP to a conserved lysine of the H protein of the glycine cleavage system (see also Biological Activities)