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Procedure narrative confirming EHL transfer: explicitly describes the EHL tendon being released, mobilized, and re-routed to the first metatarsal neck not just tendon transfer or soft tissue procedure. IP joint fusion confirmation: documents the joint preparation (cartilage removal, bony surfaces prepared), fixation method used (K-wire, screw, or staple), and the position of fusion (typically 5-10 degrees of plantar flexion)

L-glutathione is a tripeptide composed of three amino acids: cysteine, glutamate, and glycine

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Rates of deficiency increase with age