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As a source of replenishment, glutamine is converted into ketoglutarate through the breakdown of mitochondrial glutamine

However, factors such as stress, poor nutrition, and environmental toxins can disrupt this delicate equilibrium, leading to oxidative stressa condition characterized by an excess of free radicals that can damage cells

Patient safety and individualized care are our top priorities

[36] Other disorders that can disrupt the absorption of vitamin B 12 in the small intestine include coeliac disease, surgical removal, Crohn's disease, and HIV

The field is not ready for practice-changing recommendationsbut the curiosity is warranted , and the possibilities are worth watching