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29 CSE can also catalyze the reaction of L-Hcy with water via , -elimination reactions to produce homoserine, -ketobutyrate, and NH 3 , or it can condense two molecules of L-Hcy through -substitution reaction to ultimately generate H 2 S
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The problem here is that it is rapidly broken down by enzymes in the gut called gamma-glutamyltranspeptidases , thus minimising its absorption (25)
However , it is normal to experience side effects such as nausea, bloating, or abdominal discomfort for the first few weeks after starting semaglutide, and some of these will typically subside with time .
Change your GLP-1 dosage or schedule if necessary
