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Other important roles of glutathione in the body include: Regulates nitric oxide production and recycling Used in DNA synthesis and repair processes Used in protein synthesis, amino acid transport, and activation of many enzymes Needed for iron metabolism Needed for controlled and programmed cell death (apoptosis) and in the normal cell growth process Removal and elimination of heavy metals Elimination of cancer cells Regulate immune function and T cells activation The following factors contribute to lowered glutathione levels: Chronic stress Injuries and traumas Oxidative stress and free oxygen radicals Accumulation of toxins in the body Pollution Poor nutrition and nutrient intake Radiation Aging Infections Excessive alcohol consumption Smoking Genetic defects Glutathione dysregulation may increase the risk of the following diseases and conditions: Diabetes Pulmonary fibrosis Liver fibrosis Alcoholic liver disease Endotoxemia Cholestatic liver damage Summary of nutrients and foods to support optimal glutathione levels: Alpha lipoic-acid: 300 mg 3 day

and modulation of second-messenger pathways in tissues (354)

Route choice depends on indication and provider assessment