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(2018) The Multifaceted role of glutathione S-transferases in cancer, Cancer Lett

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In some embodiments, the round window membrane mucoadhesive agent is a hexyl-, heptyl-, octyl-, nonyl-, decyl-, undecyl-, dodecyl-, tridecyl-, tetradecyl-, pentadecyl-, hexadecyl-, heptadecyl-, octadecyl -D-, or octadecyl -D-maltoside

From there, it goes straight to the liver via the portal vein for whats called "first-pass metabolism." The liver is the body's detoxification center, and it's ruthless with foreign compounds, often breaking them down before they ever reach the rest of the body