Yes, if it is chemically sterile distilled water is not a substitute
Other Active Ingredients:Purified Water, Tartaric Acid, Potassium Sorbate (to preserve freshness), and Peppermint Extract (for flavoring)

Cystine/glutamate antiporter solute carrier family 7 member 11 (SLC7A11) is a major transporter regulating cysteine in tumor cells and is induced in response to a variety of stimuli, such as oxidative stress and electrophilic compounds ( xCT transcription, which enhance the GSH levels and protect tumor cells against oxidative stress ( + T cells in the tumor stromal region attenuated platinum resistance through STAT1 phosphorylation and xCT downregulation in fibroblasts ( Figure 2 ) ( Figure 2 GSH peroxidase 4 (GPX4) The tripeptide GSH consists of glutamate, cysteine, and glycine and serves as a cysteine storage and transport form ( via chaperone-mediated autophagy ( via glutathione depletion and ROS accumulation ( Hydrogen sulfide H 2 S is produced in mammalian cells by three enzymes, including cystathionine -synthase (CBS), cystathionine -lyase (CSE), and 3-mercaptopyruvate sulfurtansferase (3MST) in mammalian cells

Examples that a sulfenic acid intermediate is formed during redox regulation are become known for c-Jun, Fos, nuclear factor 1, nuclear factor-B (NF-B), GAPDH, and PTPs and up to date there are 2200 experimentally verified S -glutathionylated peptides from 169 research articles ( S -glutathionylated proteins with respect to other mixed disulfides
The inhibition of TECs ferroptosis can effectively ameliorate renal interstitial fibrosis and significantly reduce the expression of profibrotic factors through the inhibition of TGF-/Smad signaling