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We strongly recommend it, but no - you do not have to have one if you choose not to, though we do explain why this is storngly recommended
Nature 526 , 660665 (2015)
NAPQI - N -acetyl- p -benzoquinone imine
Feb 2 2008;371(9610):395-403
The reaction is not driven by enzymes and is dependent on the concentration of sugar in the blood, so it is easy to understand why individuals with diabetes have a greater degree of LDL glycation
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