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Glutamine-derived -ketoglutarate is oxidized into oxaloacetate to maintain the production of citrate
Four small, randomised trials, all using different doses and measurements of success, have been carried out
Dr Lapp's supplement recommendations Dr Charles Lapp, founder of the Hunter-Hopkins Center for chronic fatigue syndrome and fibromyalgia has recommended the following protocol of nutritional supplements: a multivitamin, vitamin B12, vitamin D3, calcium, magnesium, D-ribose, DHEA, Lysine, fish oil, plus for the most severely ill he also recommends NADH and acetylcarnitine
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Understanding this distinction is relevant for individuals discussing options with their healthcare providers
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