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The only published study applying this approach to date in autistic disorder found that the GSH:GSSG was significantly lower in whole cell extracts and mitochondria from lymphoblastoid cells obtained from children with autistic disorder compared to controls but there was no difference in response to nitrosative stress as measured by GSH:GSSG in mitochondria [80]

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Long-term use may also affect organ function, nutrient balance, and hormone regulation, and could lead to drug-to-drug interactions

But if you suspect a storage issue AND notice reduced effectiveness, the most prudent action is to start with a fresh, properly stored supply and see if your results improve

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In addition, deletion of the GSH1 geneencoding glutamylcysteine synthetase (GCS), the enzyme catalysing the first step in glutathione synthesiswas shown to suppress an Ero1 conditional mutant, again indicating that GSH provides an additional load on Ero1 activity (Frand & Kaiser, 1998)