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If oral glutathione produces no visible change after 12 weeks at 500mg twice daily, switching to IV administration or adding a complementary tyrosinase inhibitor (kojic acid, arbutin) may improve outcomes
It is a natural antioxidant produced by the liver that plays a crucial role in protecting cells from oxidative damage caused by free radicals
Inform patients that if they change to TOUJEO from other basal insulins they may experience higher average fasting plasma glucose levels in the first weeks of therapy
Injectable GLP-1 formulations (subcutaneous semaglutide, tirzepatide) do not have this timing issue since they bypass the gastrointestinal tract for absorption
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