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For example, a 19-year-old woman had been diagnosed with glutathione synthetase deficiency shortly after birth and then, despite an initial severe presentation, had normal intellectual development and few disease-related complications with a treatment regimen that included Polycitra (citric acid, potassium citrate, and sodium citrate), vitamin C, vitamin E, and selenium (08)

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For complex medical histories it suggests a specialist evaluation before starting rather than after

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