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Rising estrogen and progesterone during pregnancy stimulate the melanocytes - the cells responsible for producing pigment - to become overactive

If you want a deeper look at the science, read Why Do We Need Glutathione

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This treatment is often referred to as L glutathione injection or gluta injection

Fertil Steril (2019) 112(5):882891.e1

If you shake it accidentally and see foam, set the vial aside, allow the foam to settle (510 minutes), and inspect again before proceeding