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Even though the human body usually produces glutamine, the need for glutamine at the time of physical or emotional stress, illness, intense physical exercise, or trauma is high

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10.22038/ajp.2019.14084 67 MorsyM

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As a result, the usable window can shorten when the seal is damaged, the solution is no longer clear, the storage range has not been followed, or the vial has been handled without consistent aseptic technique