Indications include: Medically refractory disease not responding to optimized biologic therapy Bowel obstruction from fibrostenotic stricture Intra-abdominal abscess not amenable to percutaneous drainage Complex perianal fistula (seton placement, diversion) Enterocutaneous or enterovesical fistula Dysplasia or cancer in Crohns colitis Free perforation (rare) Nutritional Therapy Exclusive enteral nutrition (EEN) effective for induction in pediatric Crohns
Sources of glutamine are seafood, milk, eggs, yogurt, and nuts
Active glutathione (also known as reduced glutathione) can be administered intravenously (IV), in a nebulizer and orally in liposomal delivery systems
Start with less and add if neededyou can always apply more but can't remove excess easily
Avoid touching your face to reduce the risk of transferring bacteria
Not primary choice for cartilage-specific issues but reasonable adjunct supporting overall joint health when combined with more cartilage-targeted interventions