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When given as a single oral dose (9 g) with or without chondroitin sulfate (3 g) to ten horses, glucosamine (hydrochloride) was detected in the blood with a maximum level of 10.6 ± 6.9 μg/mL at two hours after dosing. [47]
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]
A before/after human study with no placebo control showed that one week of treatment with Celadrin was effective at reducing pain and improving functional performance in individuals with arthritis of the knee, elbow, and wrist. [5] Studies have proven that the effeicacy of Celadrin is strengthened when taken with Glucosamine Sulfate.
The effectiveness of glucosamine is controversial. [149] Reviews have found it to be equal to [150] [151] or slightly better than placebo. [152] [153] A difference may exist between glucosamine sulfate and glucosamine hydrochloride, with glucosamine sulfate showing a benefit and glucosamine hydrochloride not. [154]
Chondroitin sulfate is an important structural component of cartilage, [2] and provides much of its resistance to compression. [3] Along with glucosamine, chondroitin sulfate has become a widely used dietary supplement for treatment of osteoarthritis, although large clinical trials failed to demonstrate any symptomatic benefit of chondroitin.
N-acetylglucosamine-6-sulfatase (EC 3.1.6.14, glucosamine (N-acetyl)-6-sulfatase, systematic name N-acetyl-D-glucosamine-6-sulfate 6-sulfohydrolase) is an enzyme that in humans is encoded by the GNS gene. [5] It is deficient in Sanfilippo Syndrome type IIId.
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