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Researchers controlled for relevant factors in this study, however, it's possible that not all possible factors were adequately controlled for.

Glutathione therapy ingredients and their benefits Glutathione (NAC): Glutathione is like your skins superhero

The southern USA was over-represented in this data set, and data on ethnicity, social deprivation and other factors that may underlie clinical outcomes and access to healthcare were not available in a structured form