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On the other hand, because a substantial portion of ingested glutamine is utilized within the intestinal mucosa during first-pass metabolism, the fraction reaching systemic circulation is relatively limited compared with many other amino acids

[PubMed] [Google Scholar] 44.Cerrahoglu K, Kunter E, Isitmangil T, Oztosun AI, Isitmangil G, Okutan O, et al

This transformation happens primarily in the liver through a process called conjugation

The exact cause of PTLDS is not well understood, but it may involve a combination of factors such as an ongoing immune response, tissue damage from the initial infection, and possibly the presence of co-infections

Chuang A, Chen Y-L, Nguyen HT, Lu H-T, Liu C-H

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