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Yes, licensed physicians can legally prescribe injectable glutathione as an off-label treatment under their medical practice authority and state pharmacy compounding laws
As cosmetic chemist Colins writes it, "its safety really is beyond any doubt"
In 2021, his team was the first to demonstrate that SLC25A39 is the transporter that brings glutathione into the mitochondria
doi: 10.1002/cmdc.202200583 240 LincoffAMTardifJCSchwartzGGNichollsSJRydnLNealBet al
Thus, the fermentation processes can lead to either an intracellular or extracellular production of bioactive compounds which can be recovered either as an intact whole cell or cell-free extract using organic solvents