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Glutamine is the The body needs essential and nonessential amino acids to create various proteins

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pylori) Excessive alcohol consumption Overuse of nonsteroidal anti-inflammatory drugs (NSAIDs) Stress and anxiety Autoimmune disorders Bile reflux As people age, their stomach lining may become thinner, making them more susceptible to gastritis

Because of the slow onset of action of DMARDs, corticosteroids & NSAIDs are often more heavily used as adjunct drugs during the early phase of RA treatment before the full effect of a DMARD is achieved

OAT Results (selected abnormal findings): Elevated fumaric acid and citric acid (mitochondrial dysfunction) High pyroglutamic acid (glutathione depletion) Elevated arabinose (yeast overgrowth) Elevated methylmalonate (B12 deficiency) Elevated oxalic acid (possible gut or metabolic stress) Interpretation and Plan: Mitochondrial Support: Added L-carnitine, CoQ10 to support cellular energy