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Metabolites and cofactors of the -glutamyl cycle and trans-sulphuration pathway Data from key studies of metabolites of the -glutamyl cycle and trans-sulphuration pathway is shown in Figures 4, 5 and 6 and a summary of additional studies presented in Table 9

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If the x-rays are normal, your care provider might consider checking an HLA-B27 and, if tested positive, do advanced imaging with an MRI scan or a CT scan of the sacroiliac joints looking for evidence of sacroiliac inflammation or damage (see figures)

J Strength Cond Res 33(9):24642470 Gibala MJ, Young ME, Taegtmeyer H (2000) Anaplerosis of the citric acid cycle: role in energy metabolism of heart and skeletal muscle

10.1053/j.gastro.2015.09.039 47 KoppelmannT.PollakY.MogilnerJ.BejarJ.CoranA

doi: 10.1016/j.lfs.2019.116940 8 GuYZhouGZhouFWuQMaCZhangYet al