Peter Attia· MD
SDMA is cleared by your kidneys a DMA is catabolized in the cells so if kidney function as nothing to do with a DMA but SDM a one of the things that elevated is a renal disease and when SDM a goes unto serum it can back flux right into the cell and decrease in nitric oxide production probably part of the pathology in people really feel he's just about to say the thing I like about the ADM SDM a stuff even though we don't have all this great long-term data is it's one biochemical pathway that provides very clear evidence for two observations that are undeniable elevated homocysteine and renal function the SMA I'll not the ADM a but but you get both out of the but it's not like you're ordering selectively you order you get them all three and they're addressing both sides of that equation so it's a very interesting little biomarker there