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There are no globally defined clinical cutoffs for glutathione, but based on current research and reference ranges, these general guidelines apply: GSH (Reduced Glutathione): Active form that protects cells GSSG (Oxidised Glutathione): Used form after neutralising oxidative damage Glutathione Index (GSH:GSSG Ratio): A high ratio indicates robust antioxidant capacity and redox balance

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For more information, read this article which looks at the connection between thiamine deficiency and small intestinal bacterial overgrowth: When Sibo & Ibs-Constipation Are Just Unrecognized Thiamine Deficiency Thiamine also exerts direct effects on the intestinal barrier

If dizziness persists despite these steps, discuss with your provider whether a slower dose escalation or temporary dose reduction would help you tolerate treatment better