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While coffee likely won't "ruin" the supplement, the acidity and the presence of caffeine might speed up digestion, potentially reducing the time the glutathione has to be absorbed in the gut

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Once repair cells reach the injury, they need to become the right type of cell

If present, discontinuation should be considered, following the ASA guidance: withholding on the day of surgery for daily formulations and 1 week prior for weekly ones

Continue taking the Pepcid and tea as well