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Pregnant women are generally advised to avoid glutathione injections unless specifically recommended by a medical professional

doi:10.1016/j.pbi.2007.01.004

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Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections

Its biological activity depends entirely on the integrity of that amino acid chain