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The gamma-glutamyl cycle should be considered not as a mechanism for amino acid transport but rather a generator of extracellular signals, gamma-glutamyl amino acids, that are converted intracellularly to 5-oxoproline, which activates uptake and/or metabolism of amino acids (74, 75)

Your neurologist must review your specific MS type, disease activity, current medications, and overall health to determine whether GLP-1 therapy is appropriate for you

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Its primary function is the production, in varying proportions, of NADPH, a reduced coenzyme, and ribose 5-phosphate, a five-carbon phosphorylated sugar (i.e., a pentose phosphate), from which the pathway derives its name