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Standing within the legal community directly impacts case outcomes in pharmaceutical litigation: Standing with federal judges who preside over MDL proceedings, reflected in appointments to leadership positions or steering committees Respect from defense counsel at major pharmaceutical defense firms who recognize the attorneys trial capabilities and preparation Collaborative relationships with other plaintiff attorneys in pharmaceutical litigation, enabling resource sharing and coordinated strategies Disciplinary history and ethical standing with state bar associations References from other attorneys, clients, or medical professionals who have worked with the lawyer Judges presiding over MDLs frequently appoint experienced pharmaceutical litigators to steering committees or liaison positions precisely because these attorneys have earned reputations for professional competence, ethical practice, and effective case management

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METHODS: We conducted a MEDLINE search (to 30 September 2015) of GSH use for skin lightening and of all indications in medicine, to evaluate its safety