Initially considered the sole enzyme capable of degrading GSH, GGT hydrolyzes the -glutamyl bond of extracellular reduced and oxidized GSH (22)
Well-recognized neurologic manifestations include myelopathy, peripheral polyneuropathy, optic neuropathy, psychiatric disturbances, and dementia
Her preferred tools of the trade are injectables such as Botulinum Toxins & fillers, which she wields with finesse and intuition - often achieving what her patients desire but cannot express through words
Patients with severe deficiency may need more frequent injections initially, while those using B12 for wellness optimization may maintain results with monthly treatments
This makes it a safer and more promising option for long-term studies (5)
HLA class I molecules (e.g., HLA-A, -B) also contribute to increased risk, particularly in certain populations (e.g., HLA-A24:02 in Asia)