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*Before starting any new nutrition regimen or supplementation, consult with your healthcare provider and/or registered dietitian and nutritionist

Patients in this group usually have significant night pain with an inability to lie on their shoulders and restricted activities in lifting their arm above shoulder level, typical mid-arc impingement pain

Defer protocol in cases of acute infections until resolved

The gastrointestinal tract and liver degrade a significant portion of ingested GSH before it enters systemic circulation

*Based on an established role of extracellular NAD+ as a danger signal (Linden et al., 2019)