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If you have been vegan for several years without consistent B12 fortification, a GP blood test is the sensible starting point
2 Bioenergetics in the normal kidney 2.1 Carbohydrate metabolism With glucose as the foundational fuel to generate ATP, carbohydrate catabolism is the predominant energy production mechanism in most renal cells except proximal tubular cells ( 2.1.1 Glycolysis Glycolysis is a central pathway in glucose catabolism and catalyzed by a series of enzymes located in the cytosol (Figure 1) (Janson and Tischler, 2018)
None of these scenarios produce a usable product
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