{
 "checked": "2026-10-23 (America/New_York)",
 "page": "https://jabbitapp.com/research/glutathione-iv-drip-injection-outbreak-evidence-teardown.html",
 "outbreak": {
  "fda_alert_2026_08_27": {
   "url": "https://www.fda.gov/drugs/human-drug-compounding/fda-reminds-compounders-not-use-dietary-supplement-grade-glutathione-injectables",
   "patients_with_adverse_events_at_least": 30,
   "route": "intravenous",
   "ingredient_lot": "229536",
   "ingredient_supplier_as_named_by_fda": "Medisca Inc.",
   "labeled": "dietary supplement grade",
   "supplier_notice_to_customers_reported_to_fda": "2026-08-20",
   "page_unchanged_since_last_fetch_on": "2026-10-23"
  },
  "cdc_current_situation": {
   "url": "https://www.cdc.gov/healthcare-associated-infections/current-situation/index.html",
   "updated": "2026-09-15",
   "people_sick_more_than": 25,
   "states_at_least": [
    "TX",
    "WA",
    "FL",
    "NY"
   ],
   "hospitalized_at_least": 3,
   "hospitalized_route": "all IV",
   "first_notified": "2026-07 (Texas DSHS)",
   "fda_approved_glutathione_products_us": 0
  },
  "minnesota_mdh_lab_update": {
   "date": "2026-09-22",
   "url": "https://www.health.state.mn.us/diseases/idlab/mls/LabAlerts/260922gluta.pdf"
  },
  "recalls": [
   {
    "pharmacy": "Victory Medical Center Pharmacy",
    "city": "Austin, TX",
    "date": "2026-08-05",
    "lots": 3,
    "reason": "pharmacy testing identified elevated bacterial endotoxin levels",
    "distributed": [
     "TX",
     "FL",
     "NY"
    ]
   },
   {
    "pharmacy": "Optimal Balance Pharmacy",
    "city": "Houston, TX",
    "company_date": "2026-08-19",
    "fda_publish": "2026-08-20",
    "lots": 1,
    "states_distributed": 14
   },
   {
    "pharmacy": "Centric Compounding",
    "city": "Houston, TX",
    "company_date": "2026-09-09",
    "fda_publish": "2026-09-13",
    "lots": 6,
    "products": [
     "Glutathione 200 mg/mL",
     "Myer's Cocktail",
     "Tri-Immune Boost"
    ],
    "reports": 9
   },
   {
    "pharmacy": "Greenwich Rx",
    "city": "Tomball, TX",
    "date": "2026-10-01",
    "lots_fda_page": 10,
    "lots_ca_board_letter": 12,
    "intended_route": "subcutaneous",
    "ed_reports_after_iv_use": 2,
    "release_endotoxin_tests_met_specs_per_company_letter": true,
    "ca_board_letter": "https://www.pharmacy.ca.gov/about/recall_alerts/100126_greenwich.pdf"
   }
  ],
  "glutathione_recalls_posted_after_2026_10_01_found": 0,
  "prior_events": [
   {
    "year": 2015,
    "where": "Sydney, Australia",
    "cases": 7,
    "ref": "PMID 29673413"
   },
   {
    "year": 2019,
    "where": "US (FDA alert; Letco-repackaged ingredient)",
    "patients": 7,
    "endotoxin_up_to_x_limit": 5
   }
  ]
 },
 "x_attention": {
  "query": "glutathione -is:retweet",
  "source": "X API v2 recent counts, UTC days",
  "daily": {
   "2026-10-17": 86,
   "2026-10-18": 71,
   "2026-10-19": 110,
   "2026-10-20": 120,
   "2026-10-21": 164,
   "2026-10-22": 141,
   "2026-10-23_partial": 94
  },
  "viral_post": {
   "url": "https://x.com/i/status/2112536563280425033",
   "posted": "2026-10-20 09:29 ET",
   "impressions": 240782,
   "impressions_checked": "2026-10-23 ~14:11 ET"
  }
 },
 "pubmed_searches_2026_10_23": {
  "note": "glutathione + ejaculation frequency / abstinence / masturbation / blood or plasma, humans",
  "result_counts": [
   24,
   8,
   17
  ],
  "human_studies_measuring_blood_or_tissue_gsh_vs_ejaculation_frequency": 0
 },
 "seminal_gsh_math_jabbit_analysis": {
  "assumptions": {
   "semen_volume_ml": 5.0,
   "seminal_gsh_ng_per_ml_upper_iqr_controls": 11828,
   "sperm_count": 500000000.0,
   "sperm_gsh_nmol_per_1e8": 3.49,
   "blood_volume_l": 5.0,
   "whole_blood_gsh_synthesis_umol_per_l_per_day": 747,
   "whole_blood_gsh_uM": 1142,
   "gsh_mw_g_per_mol": 307.32,
   "who_lower_reference_limits": {
    "semen_volume_ml": 1.5,
    "total_sperm_millions": 39
   }
  },
  "semen_ug": 59.1,
  "sperm_ug": 5.4,
  "total_per_ejaculate_ug": 64.5,
  "blood_synthesis_g_per_day": 1.15,
  "blood_pool_g": 1.75,
  "ejaculate_as_pct_of_daily_blood_synthesis": 0.0056,
  "daily_synthesis_over_ejaculate": 17795,
  "capsule_mg": 250,
  "capsule_over_ejaculate": 3876
 },
 "ctgov_note": "ops/scripts/glutathione_ctgov.py: 272 records, 80 with glutathione as an intervention; heuristic too noisy, not used on page."
}