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Glucose is mainly converted into lactate (glycolysis), whereas glutamine is converted into glutamate, aspartate and alanine by undergoing partial oxidation in the TCA cycle to carbon dioxide, aspartate, alanine and lactate in a process called glutaminolysis (Reference Curi, Newsholme and Marzuca-Nassr3)

Notably, certain commensals, like Clostridium cluster XIVa and segmented filamentous bacteria, have the ability to push the host immune system toward regulatory responses via regulatory Treg expansion and IL-10 production (Touchefeu et al., 2014)

Mller, W

Goldman Cecil Medicine, Twenty-Fourth Edition

For this reason, patients with Gilberts disease are entirely normal with no other symptoms
