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Psychological problems may include depression, confusion, and difficulty with memory, or even dementia

*Dual Eligible Individual: Refers to a Medicaid beneficiary who is also eligible to receive another type of health insurance, including commercial insurance or Medicare

SCHEME 1 The final compounds -L-H-Glu(L-Glu-OH)OH 2 (( S , S ) 4-amino-4-carboxybutanoyl) glutamic acid) as chlorhydrate salt were obtained in 90% yield by removing N -BOC and tert butyl esters protecting groups in acidic conditions using HCl 4N aqueous solution in dioxane (Scheme 2)