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Chemically, DSIP is a small peptide composed of nine amino acids with the sequence Trp-Ala-Gly-Gly-Asp-Ala-Ser-Gly-Glu (WAGGDASGE)

However, when excessive amounts of acetaminophen are ingested, the livers supply of glutathione can be depleted rapidly, leaving NAPQI unneutralized.[ref] Glutathione is the master antioxidant, but there are several situations in which glutathione levels may already be low and thus unable to rise to the occasion for high doses of acetaminophen

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can be administered under medical supervision, with dosing based on the severity of the patients condition and clinical response