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Encourage lifestyle optimization : Sleep, stress management, nutrition quality Support cofactors : Ensure adequate selenium, B vitamins, vitamin C Monitor response : Track subjective improvements (energy, recovery, cognition) and objective markers Adjust as needed : Unlimited consultations to ensure patients benefit from glutathione protocol or to make any adjustments as needed

TREATMENT Spasticity is present in most individuals with SCI and may have a significant negative impact on QOL and functional activities (59)

We will continue to screen the exosomal components, to find the novel factor involved in renal toxicity