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Conversely, liver damage or dysfunction can also affect the storage and utilization of B12, possibly contributing to low B12 levels

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Unlike glucose and glutamine, which are taken up by their corresponding transporters, imported cystine must first be reduced to cysteine ( via glutaminase and serves as a precursor for GSH synthesis, in addition to a role in the tricarboxylic acid (TCA) cycle (via conversion to -ketoglutarate) ( Figure 2 Many studies indicate that several SLC7A11-high cancers are sensitive to glucose deprivation, however the exact mechanism here remains an active area of research