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Topical creams and gels are the least effective form of glutathione

Apart from pangamic acid that occurs naturally, di-isopropyl-ammonium dichloroacetate (DIPA), a synthetic product that does not exist in biological material, is available on the market with claims to have comparable biological properties (201)

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In contrast, potential perioperative relevance may relate to metabolic instability, including glycemic effects, fluid retention, and blood pressure variability, particularly in older or comorbid surgical populations

10.2174/1381612824666180608101119 61 SikiricP.SeiwerthS.GrabarevicZ.RucmanR.PetekM.JagicV.et al (1997)