Currently, there is an ongoing randomised double-masked placebo-controlled trial, the SUMMIT trial, studying the efficacy and safety of tirzepatide, a dual agonist of glucose-dependent insulinotropic polypeptide and GLP-1 receptors, versus placebo in HFpEF patients with obesity (NCT04847557)
this is of interest in that mouse studies of DMA suggest that it might be a tumor promoter, albeit at concentrations of 10-100 ppm, concentrations that are not relevant to human exposures (reviewed by Hughes et al
Specifically, regarding mitochondrial dysfunction, only the older adult cohort treated with GlyNAC significantly lowered 65% mitochondrial glucose oxidation (MGO), and upregulated 78% mitochondrial fatty-acid oxidation (MFO) towards levels not different from the young adult group
They went on to state that glutathione (GSH) can reduce oxidative stress (inflammation) by fighting the formation of damaging free radicals in the reproductive system
Additionally, their combined anti-inflammatory properties can enhance immune health and support the body's resilience against environmental stressors
Rustenhoven J, Drieu A, Mamuladze T, de Lima KA, Dykstra T, Wall M, et al