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SAM does the following: Breaks down estrogens Carnitine synthesis (the fat carrier molecule of the body) Choline synthesis Creatine synthesis Epinephrine synthesis Melatonin synthesis (aids in sleep, a powerful antioxidant) Nucleic acid synthesis- a component of DNA Breakdown of histamine Glutathione synthesis (the major detox antioxidant of the body) Maintains cartilage health Inositol: A B vitamin and a primary component of cell membranes

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This article from Nature explains more about the science of Exosomes and how they can help with osteoarthritis