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The latter may be hereditary (gingival fibromatosis) or associated with drugs (e.g

[] Additionally, the ESPEN guidelines state that high-dose parenteral glutamine should not be administered to critically ill patients with AKI, especially in the form of alanyl-glutamine because it can be harmful

Schneider-Helmert D, Gnirss F, Monnier M, Schenker J, Schoenenberger GA

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Zawada JF, Yin G, Steiner AR, Yang J, Naresh A, Roy SM, et al