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It can interact with several common medications including those for blood pressure, diabetes, and blood thinners and shouldn't be taken in pregnancy
Ji X, Xia C, Wang J, Su M, Zhang L, Dong T, et al
Glutathione synthetase deficiency has been incriminated as the cause of chronic hemolytic anemia alone (due to isolated RBC enzyme deficiency) and as the cause of a generalized syndrome (due to enzyme deficiency in many tissues) characterized by mild hemolytic disease, severe metabolic acidosis, and mental deterioration
Patients should be fully informed of the potential risk and advised to seek immediate medical evaluation if they develop symptoms such as a lump in the neck, difficulty swallowing, persistent hoarseness, or trouble breathing
