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This water soluble antioxidant compound is an unusual peptide in that the peptide bond between the glutamate residue and the cysteine residue is formed with the γ-carboxylate group of the former rather than the α-carboxylate group

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10,11 Alternative steroid-sparing treatment options include cytotoxic agents, antimalarial agents, and tumor necrosis factor (TNF) inhibitors

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