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Glutathione (oral)

Also called GSH, reduced glutathione, L-glutathione, liposomal glutathione, S-acetyl glutathione

By Kymata Health editorial teamLast reviewed October 10, 2026 · What changed

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Summary

Oral glutathione can raise blood glutathione: a 6-month trial at 250–1,000 mg/day found dose-dependent rises, but a 4-week trial at 1,000 mg/day found none (grade C, mixed). Small Thai trials at 250–500 mg/day found modest skin lightening (grade C). Long-term safety beyond 6 months is unstudied.

Top graded outcomes:C evidence grade Glutathione levels in blood and cellsC evidence grade Oxidative stress markers and glutathione statusC evidence grade Skin melanin index

Key facts

What it is
A tripeptide of glutamate, cysteine and glycine made inside cells; supplements are reduced glutathione (GSH), sometimes liposomal[1][2]
Top studied outcomes
Blood glutathione stores (C, mixed); skin melanin index ↓ (C, small trials)[1][2][4][5]
Studied dose range
250–1,000 mg/day for 4 weeks to 6 months[1][2][3]
RDA / UL
None set; glutathione is not an essential nutrient because the body makes it[1]
Documented drug interactions
None found in our sources for oral glutathione[1][2][4]
Most common side effect
No treatment-related adverse events reported in the cited trials; one skin trial noted both groups tolerated it well[4][5]
Evidence base
5 graded human outcomes on this page
Last reviewed
October 10, 2026

How it works

ProposedGlutathione is the main antioxidant made inside cells, recycling between its reduced (GSH) and oxidized (GSSG) forms. Because it is a peptide, much of an oral dose may be broken down in the gut, which is why absorption was long doubted; two trials found blood and immune-cell levels rose with daily use, and liposomal delivery is proposed to protect it. Skin lightening is proposed to come from shifting melanin production toward lighter pheomelanin.[1][3][6][7]

What the human research says

Human trials only, one row per outcome. The form column shows what each trial actually tested. Grades follow our evidence-grading policy.

At a glance: strongest evidence per outcome

Evidence at a glance: strongest human evidence per outcome
OutcomeGradeEffectStrongest evidenceRows
SkinGrade CImprovedRCT · n = 124 · 2022Form tested: glutathione 250 mg with L-cystine 500 mg, vs glutathione alone, cystine alone or placebo2 rowsIncludes this form
Glutathione levelsGrade CImprovedRCT · n = 54 · 2015Form tested: oral reduced glutathione3 rowsIncludes this form

Every graded row

Outcome
Grade
Form tested
Sort

Showing 5 of 5 outcomes. Human trials only.

OutcomeEffectGradeBest evidencePMID
Skin lightening and dark-spot sizeImprovedGrade C

RCT · n = 124 · 2022

Asian women

Form: glutathione 250 mg with L-cystine 500 mg, vs glutathione alone, cystine alone or placebo · Dose: 250 mg/day glutathione (with or without 500 mg L-cystine) · Duration: 12 weeks

The cystine plus glutathione combination lightened skin and shrank dark spots more than placebo and more than either ingredient alone.

33834608 (opens PubMed)Source [5]
Skin melanin indexImprovedGrade C

RCT · n = 60 · 2012

Healthy Thai medical students

Form: oral reduced glutathione · Dose: 500 mg/day in two doses · Duration: 4 weeks

Melanin index fell at all six sites with glutathione; the difference from placebo was significant at two sites (right face and sun-exposed forearm).

20524875 (opens PubMed)Source [4]
Glutathione levels in blood and cellsImprovedGrade C

RCT · n = 54 · 2015

Healthy non-smoking adults

Form: oral reduced glutathione · Dose: 250 or 1,000 mg/day · Duration: 6 months

Glutathione rose 30–35% in red cells, plasma and lymphocytes and 260% in cheek cells at 1,000 mg/day; smaller rises at 250 mg/day. Levels returned to baseline 1 month after stopping. Oxidized-to-reduced glutathione ratio fell in both groups.

24791752 (opens PubMed)Source [1]
Oxidative stress markers and glutathione statusNo effectGrade C

RCT · n = 40 · 2011

Adults without acute or chronic disease

Form: oral reduced glutathione · Dose: 500 mg twice daily (1,000 mg/day) · Duration: 4 weeks

No significant change vs placebo in urinary F2-isoprostanes, 8-OHdG, or red-cell reduced, oxidized or ratio glutathione.

21875351 (opens PubMed)Source [2]
Glutathione levels with liposomal deliveryImprovedGrade D

Open-label trial · n = 12 · 2018

Healthy adults

Form: oral liposomal glutathione · Dose: 500 or 1,000 mg/day · Duration: 4 weeks

Whole-blood glutathione rose up to 40% and immune-cell (PBMC) glutathione up to 100% by week 2; NK-cell activity markers also rose.

28853742 (opens PubMed)Source [3]

Forms

FormElemental %Absorption (human data)GI toleranceStudied for
Reduced glutathione (GSH) capsulesVaries[1]Not applicable (whole compound or extract; no elemental fraction)Two RCTs disagree: blood and cell levels rose over 6 months at 250–1,000 mg/day, but not over 4 weeks at 1,000 mg/day.[1][2]No treatment-related adverse events reported in the cited trials.[1][2][4]Raising glutathione stores, skin tone
Liposomal glutathioneVaries[3]Not applicable (whole compound or extract; no elemental fraction)One 12-person uncontrolled pilot found blood glutathione rose within 1–2 weeks at 500–1,000 mg/day. No head-to-head trial against plain capsules.[3]No adverse events reported in the pilot.[3]Raising glutathione stores
Oxidized glutathione (GSSG)Varies[7]Not applicable (whole compound or extract; no elemental fraction)One 12-week trial found 250 mg/day of either GSH or GSSG tended to lower melanin index vs placebo; no absorption data in our sources.[7]No serious adverse effects in that trial.[7]Skin tone

Studied doses

Doses studied in human trials ranged from 250 to 1,000 mg/day of oral glutathione for 4 weeks to 6 months. Skin trials used 250–500 mg/day; the stores trials used 500–1,000 mg/day.[1][2][3][4][6]

These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

Interactions

Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.

None found in our sources.

Who should be careful

Medicines
No published drug interactions for oral glutathione were found in our sources. That is an absence of data, not proof of safety with every medicine.[1][2]
Asthma and inhaled glutathione
Nebulized (inhaled) glutathione caused airway narrowing in a small study of people with mild asthma. This applies to inhaled use, not capsules, but people with asthma should know the inhaled form is not the same product.[8]
Pregnancy and breastfeeding
No safety trials of glutathione supplements in pregnancy or breastfeeding in our sources.[1]
Long-term use
The longest trial lasted 6 months; skin-lightening trial authors note long-term safety has not been established.[1][4]

Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

How to read the label

  1. Label dose vs clinical doseCompare the mg of glutathione per serving on your label with the trials: those that measured a rise in body stores used 250–1,000 mg/day for months; the skin trials used 250–500 mg/day for 4–12 weeks.[1][4][6]
  2. Check reduced vs oxidizedMost trials used reduced glutathione (GSH). The label may say "L-glutathione (reduced)"; oxidized glutathione (GSSG) has only one small skin trial.[1][7]
  3. Liposomal amounts are glutathione, not liposome weightCompare the mg of glutathione per serving. The liposomal pilot dosed 500–1,000 mg of glutathione, not of the total liquid.[3]

Cost per studied dose, without the sales pitch

Compare any product you already have by the amount it delivers, not by capsule count or front-of-pack weight.

Cost per studied dose

Enter the price, servings and the amount per serving from your label.

Formula: price ÷ (servings × amount per serving) × reference amount. Use the amount printed on the Supplement Facts panel, not the front-of-pack compound weight. Reference amounts are what trials studied or official limits, not advice for you. We don't rank or link products on this page.

Frequently asked questions

Is oral glutathione absorbed?

Partly, according to one 6-month trial that found blood and cell glutathione rose with daily use. A 4-week trial at 1,000 mg/day found no change, so results depend on duration and are not consistent.[1][2]

Is liposomal glutathione better than capsules?

No head-to-head trial in our sources. A 12-person uncontrolled pilot found blood levels rose within 2 weeks on liposomal glutathione, which is promising but weak evidence.[3]

Does glutathione lighten skin?

Small trials in Thai and other Asian participants found modest drops in melanin index at 250–500 mg/day, mostly on sun-exposed skin. Effects were small and long-term safety is unknown.[4][5][6]

How much glutathione was used in studies?

Between 250 and 1,000 mg/day: 250–500 mg/day in skin trials, and 500–1,000 mg/day in trials measuring body stores.[1][2][4][6]

How long until glutathione levels rise?

In the 6-month trial levels were higher at 1, 3 and 6 months and fell back to baseline a month after stopping. The liposomal pilot saw peaks at 2 weeks.[1][3]

What are the side effects of glutathione?

The cited trials reported no treatment-related adverse events over 4 weeks to 6 months. Inhaled glutathione is different and caused airway narrowing in people with asthma.[1][4][8]

Glutathione vs NAC: which raises glutathione?

No head-to-head trials in our sources. NAC supplies cysteine, the building block that limits how fast the body makes glutathione; see the NAC page for its own evidence.[1]

Sources

  1. [1]Randomized controlled trial of oral glutathione supplementation on body stores of glutathione.. Eur J Nutr, 2015. RCT PMID 24791752
  2. [2]Effects of oral glutathione supplementation on systemic oxidative stress biomarkers in human volunteers.. J Altern Complement Med, 2011. RCT PMID 21875351
  3. [3]Oral supplementation with liposomal glutathione elevates body stores of glutathione and markers of immune function.. Eur J Clin Nutr, 2018. open-label PMID 28853742
  4. [4]Glutathione as an oral whitening agent: a randomized, double-blind, placebo-controlled study.. J Dermatolog Treat, 2012. RCT PMID 20524875
  5. [5]The effects of the oral supplementation of L-Cystine associated with reduced L-Glutathione-GSH on human skin pigmentation: a randomized, double-blinded, benchmark- and placebo-controlled clinical trial.. J Cosmet Dermatol, 2022. RCT PMID 33834608
  6. [6]The clinical effect of glutathione on skin color and other related skin conditions: A systematic review.. J Cosmet Dermatol, 2019. systematic-review PMID 30895708
  7. [7]Glutathione and its antiaging and antimelanogenic effects.. Clin Cosmet Investig Dermatol, 2017. RCT PMID 28490897
  8. [8]Nebulized glutathione induces bronchoconstriction in patients with mild asthma.. Am J Respir Crit Care Med, 1997. RCT PMID 9279219

What changed

  1. October 10, 2026 · all · new pageFirst draft. Every PMID checked against NCBI E-utilities esummary (title and year taken from the record) and abstracts read for the cited rows.Writer: Kymata Health editorial team · No credentialed reviewer yet
  2. October 10, 2026 · all · reviewAdversarial review pass: every claim re-checked against the cited abstract (or full text where noted), PMIDs re-verified via NCBI esummary, unsupported label-market statements removed, two evidence rows with unreported pooled n removed. Page set indexable.Writer: Kymata Health editorial team · No credentialed reviewer yet

How we write, grade and correct these pages: editorial and evidence policy.

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