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Excluded were those mothers who anticipated moving out of the area before study completion, who had twin or multiple pregnancies, who were treated for infertility, who tested positive for hepatitis B (hepatitis B surface antigen), HIV, or syphilis (Venereal Disease Research Laboratory test) infections, or who were taking daily vitamin supplements in addition to folic acid and iron

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They may recommend stopping lipotropics or switching the ingredients you are using

(13) Eating a diet thats high in fat Cigarette smoke exposure (firsthand or secondhand) Drinking too much alcohol regularly Frequent use of NSAIDs like acetaminophen Chronic inflammation Generally, I advise patients to minimize oxidative stress while taking glutathione to maximize its benefits, Gupta explains