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Maintaining an adequate GSH redox status and 25-hydroxy-vitamin D levels will have the potential to reduce oxidative stress, enhance immunity and diminish the adverse clinical consequences of COVID-19 especially in African American communities having glucose-6-phosphate dehydrogenase (G6PD) deficiency, enzyme necessary to prevent GSH exhaustion and depletion (213, 310)

In more detail, the association between dysbiosis and insulin resistance is thought to be connected with the enhanced intestinal permeability and endotoxemia, associated with chronic low-grade inflammation, along with alterations in microbiota-derived metabolitesincluding short-chain fatty acids (SCFAs), bile acids, and branched-chain amino acids (BCAAs)which collectively may influence glucose homeostasis and energy balance [121]