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D-lactate is produced by glyoxalase-II, unrelated to lactate dehydrogenase, and the human D-lactate dehydrogenase does not make any form of lactate at all, but rather irreversibly converts D-lactate to L-pyruvate
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Weeks 1–4: 0.25 mg once a week Weeks 5–8: 0.5 mg Weeks 9–12: 1 mg Weeks 13–16: 1.7 mg (if needed) Week 17 and beyond: 2.4 mg (maintenance) Weeks 1–4: 2.5 mg weekly (starting dose) Week 5+: 5 mg weekly Increase by 2.5 mg every 4 weeks if needed Maximum: 15 mg weekly Your provider will help you determine the right pace based on how you’re responding
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