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Some patients benefit most from a supervised combination based on their health profile
L.SebastianiG.GriecoF
With respect to the mitochondrially localized TCA cycle, glutamine and glutamate represent the main anaplerotic molecules feeding the cycle, predominantly through their conversion to 2-oxoglutarate (-ketoglutarate) via the actions of glutaminase and glutamate dehydrogenase
Multidisciplinary support is crucial and may include: Dietetic input to establish regular, balanced eating patterns without rigid restriction Specialist eating disorder services for complex presentations Support groups (such as Beat, the UK eating disorder charity) Treatment of co-occurring conditions such as depression, anxiety, or substance use disorders Patients should be encouraged to access NHS talking therapies through self-referral or GP referral
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