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3.2.3 Testing for additional autoantibodies (anti-soluble liver antigen, anti-liver cytosol-1, and peri-nuclear anti-neutrophilic cytoplasmic antibodies) may be considered if initial autoantibodies are not detected and there is a strong clinical suspicion (LOE 3, Weak recommendation)

Given the presence of glutathione peroxidase in meibomian glands and conjunctiva and its dependence on intracellular GSH, augmenting ocular surface redox capacity with GSH-C4 may mitigate ROS-driven epithelial stress and thereby support tear-film stability, a hypothesis-generating observation that warrants further study (Nezzar et al., 2017)

Arch Surg 126: 1109-1114, 1991

FIGURE 2 The analysis of item 9 of the BDI-I showed that 11.3% of the participants ( n = 20) expressed suicidal ideation

Glucose / IGF-1: Higher GH output can affect insulin sensitivity