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Berlin, Heidelberg, Germany: 2011

Metabolism of carnosine in humans Carnosine is hydrolyzed by carnosinase-2 (a Zn 2+ -dependent cytosolic enzyme in tissues) and carnosinase-1 (a Mn 2+ -dependent extracellular enzyme in human blood), but not by proteases or dipeptidases, in humans and animals

Saleh, M

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Quick Answer: Semaglutide and levothyroxine can generally be taken together safely with appropriate timing and medical monitoring