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Although there is a broad clinical spectrum of glutathione synthetase deficiency, manifestations usually include hemolytic anemia, often include metabolic acidosis, and sometimes include progressive neurologic symptoms as well as other systemic signs (eg, respiratory distress, sepsis, hyperbilirubinemia) (62

doi:10.1016/j.chemosphere.2011.12.025 Gros M, Williams M, Llorca M et al (2015) Photolysis of the antidepressants amisulpride and desipramine in wastewaters: identification of transformation products formed and their fate

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