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What you'll notice: Probably nothing visible yet
Moderate glutathione synthetase deficiency leads to hemolytic anemia and metabolic acidosis, whereas patients with a more severe deficiency also develop 5-oxoprolinuria, recurrent bacterial infections, and progressive dysfunction of the central nervous system, including mental retardation and motor functional disturbances
doi: 10.1038/s41571-020-00462-0 11 JiangXStockwellBRConradM
Strength testing in specific positions helps isolate which of the four rotator cuff muscles might be involved
