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Our Conclusion

The contradictory response of glutathione gel in the treatment of melasma in different studies may be attributed to the difference in stability, absorption, penetration of glutathione and affected by the different vehicle (soap, cream, gel or lotion) rather than the efficacy of glutathione itself

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IRE1A-stimulated hepatocyte-derived EVs, having ceramide-derived sphingosine 1-phosphate, enhance macrophage migration, which results in an inflammatory response in the liver (77, 85)

Low doses may be better tolerated for those on conventional blood thinners