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Hypoglycemia risk is major, and effects on fluid balance, joint comfort, and other parameters become more pronounced

The reaction can be generalised as such: 1 -amino acid + R 2 --ketoacid R 1 --ketoacid + R 2 -amino acid A very common -keto acid is -ketoglutarate, an intermediate in the citric acid cycle

Front Immunol (2019) 10:3142

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J Neurophysiol 85:22932297