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Sushovan Guha, MD, MA, PhD, FASGE, AGAF, is a Houston-based gastroenterologist and hepatologist at Houston Regional Gastroenterology Institute with extensive academic experience, specializing in general GI care, colorectal cancer prevention, and advanced endoscopic procedures.

Traditional glutathione supplements face significant challenges when consumed orally, including degradation by stomach acid, poor absorption through the intestinal wall, and rapid metabolism by the liver

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In Kefir and koumiss, these beverages use complex symbiotic cultures of bacteria ( Lactobacillus spp.) and yeasts ( Candida and Kluyveromyces )

For these reasons, we do not believe that using a one-year lag of the median final score would provide additional benefit to ASM participants in calculating payment adjustments