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The simple answer is that nobody knows

GSH is a cofactor for dozens of enzymes involved in detoxification.* As an antioxidant, it directly quenches several reactive oxygen species (free radicals).* Numerous structures and functions in the body receive benefit from maintaining normal levels of glutathione, such as hepatic support, pulmonary health, immune function, bowel health, carbohydrate metabolism, cardiovascular health, cognitive health, and eye health.* The liver is the largest reservoir for glutathione in the body

Pickart and Margolina documented over 4,000 gene modulations in vitro

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After the initial painless pinprick of a needle, the nutrients flow into the bloodstream