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Positive findings : Systematic review found that 500mg daily oral glutathione and 2% topical glutathione could brighten skin in sun-exposed areas Well-tolerated with good safety profile in clinical studies Consistent improvements in melanin index measurements Limitations of current research : Evidence still considered inconclusive due to quality of studies and inconsistent findings Small sample sizes in most trials Short-term studies with limited long-term data Variable results between individuals Scientific Gaps Several important questions remain unanswered: Optimal dosage and treatment duration Long-term safety of prolonged use Maintenance protocols after achieving desired results Individual response variability factors How to Use Glutathione Safely for Skin Starting with Oral Supplements Most evidence-based approach for beginners

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Research on the regulation of GM dysbiosis in liver diseases by TCM and natural products is actively underway (See Table 4), which will provide new directions for exploring promising drugs and potential therapeutic strategies targeting the GM