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4th ed, ed

Solubility: Fully soluble in water (HO)

doi:10.1136/bmj.j5492 10

Adults over 40 Natural glutathione production declines with age beginning in the 30s, with significant drops occurring in the 40s and 50s Endurance and strength athletes High training loads increase reactive oxygen species production and accelerate glutathione depletion Individuals with high alcohol or toxin exposure The livers phase I and phase II detoxification processes are highly glutathione-dependent People with chronic inflammatory conditions Elevated oxidative stress from chronic inflammation depletes glutathione stores Smokers and those in polluted environments Environmental oxidants significantly increase glutathione turnover Those with poor dietary cysteine intake Low protein diets or poor protein quality reduces NAC precursor availability Who Should Be Careful With Glutathione or NAC