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Some common challenges include: Increased anxiety and stress Difficulty focusing at work or school Trouble maintaining relationships Low self-confidence Feelings of frustration, shame, or guilt Sleep problems Avoiding certain situations or places Spending hours each day managing obsessions and compulsions Over time, OCD can make daily responsibilities feel exhausting and overwhelming

Anal Biochem 126:131138 Habig WH, Pabst MJ, Jacoby WB (1974) Glutathione-S-transferases: the first enzymatic step in mercaptoric acid formation