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However, in chronic critical illness, glutathione synthesis may be impaired by cysteine depletion, protein-energy malnutrition, hyperglycemia, pharmacological doses of glucocorticoids, and decreased anterior pituitary hormone secretion

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borivilianum have immunomodulatory effects, it should potentially regulate antioxidant enzymes

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Any change in the IVIG product should be made under the supervision of your healthcare provider, who can monitor for infusion-related reactions and determine whether an alternative formulation may be appropriate