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The third term is the loss of cysteine in the reaction catalyzed by GCS that makes glutamyl-cysteine and the fourth term represents the loss of cysteine to other pathways (for example to sulfate and taurine)
A century ago, three-quarters of prescriptions required some sort of in-pharmacy compoundingmixing up drug formulations in the shop rather than giving a patient a standard off-the-shelf medicationbut that number dropped to 1% by the 1970s
To overcome this, samples are typically tested at a large dilution to reduce matrix interference and ensure reliable recovery and detection in compliance with USP
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Yohn, S
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