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They suggest steering clear of non-prescription use

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In the initial step, ACMS is decarboxylated to -aminomuconate--semialdehyde (AMS)

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10.1097/ICO.0000000000001181 Summary Keywords cytokines, dry eye syndromes, glaucoma, glutathione, lubricant eye drops, wound healing Citation Gallo Afflitto G, Fanelli M, Petrone V, Chirico R, Ceccarelli F, Martucci A, Minutolo A, Aiello F, Garaci E, Matteucci C and Nucci C (2026) Efficacy of hyaluronic acid and butyroyl glutathione in the management of glaucoma-related ocular surface disease: a prospective, interventional, double-blind, cross-over post market study