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As a spore-forming organism, it is shelf-stable without refrigeration and is designed to survive gastric acid, activating in the intestines where it produces butyrate

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Often referred to as the master antioxidant, glutathione plays a pivotal role in many bodily functions, especially detoxification and cellular protection

26 and the references therein), they have limitations associated with well-known multiple adverse reactions, genotoxicity, and special requirements for storage, handling, and administration, posing challenges with respect to the standard operating procedure (SOP) for MDA campaigns requiring single or double dose activity, oral administration, minimal toxicity, and stability in tropical settings 27