anomaly in the amount of glutamine, a non-essential alpha-amino acid synthesized from glutamate and ammonia that may become conditionally essential in hypercatabolic states; glutamine plays several important roles, including protein and glutathione synthesis, energy production, acid-base balance, maintenance of optimal antioxidant status, intestinal integrity, immune function, gluconeogenesis, nitrogen transport, and neurotransmitter, nucleotide and nucleic acid synthesis
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