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One possibility is that diminishment of NADPH also inhibits thioredoxin reductase in the cytosol, and that cytosolic glutathione becomes more oxidized because it must compensate in the reduction of reactive oxygen species for the shortage of reduced thioredoxin

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GSSG is a product of the oxidation of GSH, which has no biological activity and needs to be reduced to GSH by consuming energy under the action of enzymes in order to resume its function

[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)