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The only definitive sign is the beyond-use date stamped by the pharmacy or a known temperature excursion (vial left out for more than 4 hours or frozen)

Unknown long-term safety: Long-term effects of exogenous glutathione administration are not well-studied Injection technique: Must be administered by or under the direction of a qualified provider Common Side Effects Injection site reactions: pain, redness, swelling Mild nausea Lightheadedness Transient sulfur-like odor or taste Headache Temporary changes in skin pigmentation Seek Immediate Medical Attention For Signs of severe allergic reaction: rash, itching, swelling of face/tongue/throat, severe dizziness, trouble breathing Widespread skin rash or peeling skin Chest pain or difficulty breathing Signs of liver problems: yellowing of skin or eyes, dark urine, severe fatigue Use in Pregnancy and Breastfeeding Safety has not been established

It's the dysphagia code most tied to aspiration risk, and it pairs with J69.0 when aspiration is confirmed

The metabolic response to ingested glycine