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Daigeler A, Lehnhardt M, Khadra A, Hauser J, Steinstraesser L, Langer S, Goertz O, Steinau HU

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28:888-894 [PMC free article: PMC1307521] [PubMed: 15793191] 59

But in the case of B12 deficiency, homocysteine may rise beyond normal levels, causing irritation to the cardiovascular system and increasing inflammation

The observed improvement in tear film stability, as measured by TFBUT, is particularly relevant given G-OSD is predominantly associated with Meibomian gland dysfunction (MGD), leading to an evaporative form of DED characterized by poor tear film stability ( In our cohort, glutathione use was associated with reduced ocular surface damage, as indicated by NEI-SS scores