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In addition to the relevance of POP conjugation cited previously, hyperglycemia and hyperinsulinemia appear to directly inhibit glutathione synthesis (GCL), and the increased production of reactive oxygen species which accompanies diabetes further depletes GSH levels

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Carnosine provides daily protection against oxidative and glycation damage, while periodic epitalon cycles could theoretically address telomere maintenance

The low yield of laboratory tests like a complete blood count, C-reactive protein, erythrocyte sedimentation rate, and autoimmune studies had led the AAO-HNS to strongly recommend against routine blood work, unless the history or physical exam suggests a specific etiology [32]