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The primary and secondary sexual characteristics of women (breasts, wider hips, lack of facial hair, etc) are due to estrogen production starting in puberty

Glutathione interrupts this process through multiple mechanisms: it inhibits the enzyme tyrosinase, which catalyzes melanin production

Patients can present as heterozygotes with only one gene encoding for an abnormal enzyme, or as a homozygote with both genes encoding for the defective enzyme

Unlike HSAs, FSA funds do not roll over indefinitely

The patient reviews the pharmacy copay or cash alternative before filling

It is common for two or more appointments to be needed, most frequently exceeding 6-10