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Watari T, Naito K, Sakamoto K, Kurosawa H, Nagaoka I, Kaneko K

it is secreted in a SecA2-dependent manner (88, 89), in addition to having cytoplasmic roles regulating metabolism, redox balance, and biofilm formation (9094)

However, functional deficiency can exist at levels up to 350 pg/mL, particularly when methylmalonic acid is also elevated

demonstrated that supplementing glutamine as part of nutritional therapy can increase mucosal cell uptake of glutamine, reduce symptoms of mucosal pain and ulcers associated with gastrointestinal radiation therapy, and promote mucosal healing (60)