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Glutamate can also be deaminated via glutamate dehydrogenase to regenerate -ketoglutarate and release ammonia, a mechanism well-document in vertebrates for nitrogen and anaplerotic balance 74

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Abels, Improved distribution analysis of cobalamins and cobalamin analogues in human plasma in which the use of thiol-blocking agents is a prerequisite, Clinica Chimica Acta, Volume 131, Issue 3, 15 July 1983, Pages 211-224, ISSN 0009-8981 Thakkar, K., & Billa, G

For most of these agents, therefore, by the time you discount those future events back in terms of quality-adjusted life-years, and also in terms of the economic value of those costs, it's challenging for new products to be cost-effective

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