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18 Therefore, a diagnosis of SS is entirely clinical, based on a careful history and examination, with a detailed enquiry about the use of prescription, over-the-counter, and illicit drugs (stimulants such as cathinones and other synthetic stimulants, ecstasy, amphetamines, or cocaine), as well as any dietary supplements (such as St Johns wort, ginseng, tryptophan, and pharmaceutical adulterants in appetite suppressants)

The characteristic thiol functional group consisting of a hydrogenated sulfur, is present in the GSH sample that was not exposed to the accelerated heat stress

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