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This highlights proteolysis as a source to compensate amino acids balance, as glutamine-derived glutamate is the main source for amino acids synthesis mainly through transamination processes [67, 68]
40 The clinician will likely need to assess for recent vitamin B 12 intake and individualize the repletion treatment plan based on what the patient had (or had not) been taking prior to the identified deficiency
The body absorbs only as much B12 as it needs, and any excess is eliminated naturally
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