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In the case of deterioration, the advisability of continuing treatment or instigating other therapeutic strategies should be considered for each patient

Hypoglycemia is a potent activator of the HPA axis and glucocorticoids has been documented to increases glycogenolysis and gluconeogenesis 26,27,28,29

However, the molecular structure of glutathione contains active sulfhydryl group (-SH), which is susceptible to oxidation reaction by external environmental factors, such as light, humidity, high temperature environment