Glutathione is a well known antioxidant in the body .This is also widely used in asian countries for skin lightening. Glutathione oral products are not well absorbed from the intestine and had to be metabolized to to another molecule before this is taken up by the body cells. Glutathione can be absorbed intact into the blood stream when administered in IV form as a nutritional supplement . Certain oral glutathione precursors like N Acetylcysteine, R-Alpha Lipoic Acid, Selenium and Silymarin can be taken to increase the body's supply of glutathione. Glutathione inhibits tyrosinase enzyme which then switches the production of eumelanin to phaeomelanin. Its lightening effects appear to work better when combined with IV vitamin C. IV glutathione when combined with IV vitamin C helps to stay in its most active form. Glutathione also appears to work by eliminating the body of free radicals or toxins that lead to hyperpigmentation, age spots, sun spots, wrinkles and conditions such as melasma. Vitamin C has been scientifically proven to raise the levels of glutathione in the body. The potential side effects of the IV injection include anaphylaxis, nausea, phlebitis and abnormal liver test. Certain oral preparations may help increase the Glutathione body storage hence be effective not only as antioxidants but skin lightening. Ladie Arana-Domondon, MD, FACP