Antioxidant defence gene expression (SOD, catalase pathways)
Glutathione decreases as we age and can also decrease with some environmental factors such as stress, infection, poor diet, or chronic disease (source)
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The key is to confirm the "pernicious" part of the name, which refers to the underlying autoimmune attack
Since the patient does not appear to have intended to harm himself and is clinically well, I would discharge him from the emergency department with additional doses of 70 mg per kilogram to be taken every 4 hours