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Glutamine acts as an alternative fuel for fatty acid synthesis, supplying citrate via mitochondrial reductive carboxylation, especially under hypoxic conditions 74,75
That's not necessarily a problem - it's just a gap between what's confirmable from the outside and what a fully transparent site would show, and it's covered in more depth in the Material Limitations section near the end
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And about half of the people who take these medications find that both types work about the same for them
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