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Patients taking antioxidant supplements during chemotherapy should discuss this with their oncology team, as theoretical concerns exist about potential interference with treatment efficacy

Therefore, the formation of these and related metabolites can, in theory, be affected by other drugs (see PRECAUTIONS, Drug Interactions)

In the one by one matched group, the interaction was significant in the ANOVA (F(1,63)=5.56, P =0.021) and the analysis of covariance (F(1,62)=5.43, P =0.023)

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Our study has limitations that need to be acknowledged including the retrospective study design and the relatively small sample size despite screening an initial cohort of over 1000 samples sent for ammonia testing