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Hernia 23:12431252 Granderath FA, Carlson MA, Champion JK, Szold A, Basso N, Pointner R, Frantzides CT (2006) Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery

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GGT enzyme actively participates in glutathione synthesis

However, if you are exposed to more toxins than usual (say in the workplace), have ongoing levels of high stress, have an imbalanced immune system (weak or overactive such as autoimmune), have a chronic disease, or need to take medications, then you should consider supplementing glutathione