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This patient's older age, extensive atherosclerotic risk factors, and lack of a heavy smoking history make Buerger disease unlikely

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Biotechnological Applications of Bacterial GGTs Bacterial GGTs generate an array of compounds through enzymatic -glutamylation of amino acids (e.g., Cys, Glu, Phe, Leu, Val, Trp, and His) and other related amine compounds [e.g., 3,4-dihydroxyphenylalanine (L-DOPA) and ethylamine] exhibiting value-added properties like increased solubility, protease resistance, enhanced flavors, and therapeutic capabilities making such compounds significant in food and pharmaceutical industries

Proc Natl Acad Sci U S A 105:92909295 Waterston RH, Lindblad-Toh K et al (2002) Initial sequencing and comparative analysis of the mouse genome

Each participant was also instructed to apply topical glutathione (2% with vitamin C) or a placebo to the right and left cheeks, respectively, in a blinded manner