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The skin is chronically exposed to both endogenous and environmental pro-oxidants leading to the production of ROS.[] ROS leads to lipid peroxidation, which is considered as the hallmark of oxidative stress in body.[] Malondialdehyde (MDA) is considered as the end product of lipid peroxidation and MDA levels is directly proportional to the oxidative stress.[] The most important antioxidants present in human body include superoxide dismutase, glutathione peroxidase, and catalase.[] Glutathione which is considered a master antioxidant can help keep the balance between the oxidant and antioxidant system in the body and prove to be an effective therapy but studies proving its efficacy are limited

AugustinKKhabbushAWilliamsSEatonSOrfordMCrossJHet alMechanisms of Action for the medium-chain triglyceride ketogenic diet in neurological and metabolic disorders

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Impaired kidney function has also been independently identified as a risk factor due to decreased clearance of 5 oxoproline