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6j), a metabolite that is produced by GCLC in the absence of cysteine 32,33

It also contains L-glutamic acid, L-cystine and glycine which are the amino acids that make up L-glutathione

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Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

Note: The above statements have not been evaluated by the Food and Drug Administration