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The doctor may look at medical history, do a physical exam, or suggest imaging tests to rule out other causes

Hessian fly induces higher levels of glutathione synthetase activity in resistant plants To determine if the increase in glutathione abundance is due to increased synthesis, we determined the activity of -glutamylcysteine synthetase and glutathione synthetase in wheat tissue at the feeding site

The Lancet Regional Health Europe

There is also a simpler explanation

The overall amount of GH synthesized was estimated to be about ~758 ngh/mL in non-stimulated conditions, compared to ~1,370 ngh/mL in the cells exposed to the continuous action of CJC-1295