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The resulting blend has been shown in clinical research to boost and sustain muscle-pumping nitric oxide levels more effectively than glutathione or L-Citrulline alone, which in turn has been suggested to enhance aerobic exercise performance

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Amy Yasko and Nutritionist Cynthia Smith both suggest you can consider taking low dose lithium orotate (Cynthia Smith suggests approximately 4.6 mg pulsed a couple times a week before adding the B12 form in thats most likely best for you)

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This isn't unique to glutathione