glutathione protein complex Figure 1 from S-transferase and MRP1 form an integrated system involved in the storage and transport of dinitrosyl-dithiolato iron complexes in cells Glutathione Complex Supplement, Immune Support
Description
Kardiologe 10 , 3846 (2016)
Functionally, NAD+ has three jobs that matter for wellness

Both cases would result in relative hypocortisolism, where the small amount of cortisol synthesized by negative feedback would bind to glucocorticoid receptors on the cells of innate immunity to suppress proinflammatory cytokine synthesis, though only partially due to the persistence of infection and greater positive feedback from proinflammatory cytokines [236, 267]

When in doubt, replacing the vial is the safest option.
Its a synthetic version of a natural peptide found in the human body, specifically, the pineal gland

adults with normoglycemia in the National Health and Nutrition Examination Survey 2013-2016