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Sterile water is exactly what the name says: sterile at the moment it is sealed

Possible supplement options under clinician guidance include low-dose selenium, NAC (cysteine support), and glycine, and oxidative-stress-focused antioxidant formulas if appropriate

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Kawahara et al

In essence, it suggested that exercise was either inducing a lot of damage which the white blood cells were reacting to, and/or that the white blood cells had become hypersensitive to any signs of damage produced by exercise