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The enzyme cystathionine gamma-lyase converts the cystathionine into cysteine and alpha-ketobutyrate

( High comorbidity adjustment: There are two or more secondary diagnoses on the home health-specific comorbidity subgroup interaction list that are associated with higher resource use when both are reported together compared to when they are reported separately

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Twice Daily Protocol: Splitting the daily dose into morning and evening administrations (0.05 to 0.075 mg each) maintains more consistent tissue levels