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dosage should be reduced in patients with renal impairment no dosage adjustment required for mild to moderate hepatic insufficiency Side Effects: upper respiratory infection pancreatitis - there have been post-marketing reports of acute pancreatitis

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Cleveland Clinic resources (updated 2025) caution that efficacy claims lack robust RCTs and that purity varies substantially across formulations (1050% active in products)

The trials were completed by first mixing 0.1 mL of a no heat stress GSH sample, with 0.8 mL of the AuNp colloidal solution