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Glucosamine with or without chondroitin elevates the international normalized ratio (INR) in individuals who are taking the blood thinner, warfarin. [ 4 ] [ 12 ] It may also interfere with the efficacy of chemotherapy for treating cancer symptoms.
The Long-term Evaluation of Glucosamine Sulfate (LEGS) study ran between 2007 and 2011, [61] to study whether glucosamine sulfate, chondroitin sulfate or a combination of both are effective treatments for chronic knee pain due to osteoarthritis. 502 patients (from 605 enrolled) were followed for two years. [62]
Chemical structure of one unit in a chondroitin sulfate chain. Chondroitin-4-sulfate: R 1 = H; R 2 = SO 3 H; R 3 = H. Chondroitin-6-sulfate: R 1 = SO 3 H; R 2, R 3 = H.. Chondroitin sulfate is a sulfated glycosaminoglycan (GAG) [1] composed of a chain of alternating sugars (N-acetylgalactosamine and glucuronic acid).
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The designation allows MSM to be added to processed foods. [15] The LD 50 of MSM is greater than 17.5 grams per kilogram of body weight. [16] Extensive research in animal models indicates MSM has a very low toxicity when administered both orally and topically. [17] [18] [19] MSM is considered 'Possibly Safe' at therapeutic doses. [13] [20]