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(Source 7, 8) The disease can be mild, moderate, or severe, and symptoms include: Hemolytic anemia (a rare anemia caused by the breakdown of red blood cells) Metabolic acidosis (acid buildup) Recurrent bacterial infections Seizures Intellectual disability Ataxia (loss of coordination) (Source 6) Supplementation to Raise Glutathione Concentrations Dietary strategies support the prevention of glutathione depletion

Discussion There was a high level of agreement to take part in the study by the families and the high rate of involvement of siblings demonstrated willingness to contribute to greater knowledge in this area

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