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I think this is probably an under-recognised cause of metabolic acidosis with many of the risk factors being prevalent in our inpatients (poor nutrition, chronic alcohol use, renal failure, infection, paracetamol use)

Understanding the enzymatic basis of amino acid biosynthesis and its regulation is essential for metabolic engineering strategies aimed at improving crop productivity and stress tolerance

doi: 10.1002/jcp.25518 108 BhattaraiYWilliamsBBBattaglioliEJWhitakerWRTillLGroverMet al

Selenium deficiency and fulvic acid supplementation induces fibrosis of cartilage and disturbs subchondral ossification in knee joints of mice: an animal model study of Kashin-Beck disease

Our results show a clear association between BAs and psychological symptoms, indicating a connection between BA metabolism and poor mental health in FM subjects