The biggest reasons for decreased glutathione levels include chronic stress, environmental toxins, GMO consumption, chronic disease, antibiotic overuse and even simple aging
doi:10.1016/j.rbmo.2018.09.016
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One article proposed that excessive serotonin levels could explain classic symptoms of ME/CFS (433), as it would promote the release of excess CRH, and therefore cause chronic reactivation of the HPA axis (434)