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The hydrolysis of extracellular Gln by the GGT from gastric helicobacters can cause a depletion of this conditionally essential amino acid in the gastric juice of an infected host, which may eventually lead to epithelial cell damage and immunological dysfunction 16,18,20

The challenge with making sense of these associations is that Ive not seen a single study in a pregnant population that is not also supplemented with high doses of folic acid

patients should be monitored for pancreatitis, diabetic retinopathy complications, and hypoglycaemia when used with insulin or sulphonylureas

This is common in conditions like pernicious anemia, Crohn's disease, or after certain stomach surgeries

As this is a narrative rather than a systemic review, no formal quality assessment or meta-analysis was performed