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In addition, the elevated levels of tryptophan along with lower 3-hydroxyanthranilic acidan intermediate in the metabolism of tryptophan through the kynurenine pathway [27]could be related to serotonin synthesis [26]
However, the risk may increase meaningfully when combined with insulin or sulphonylureas, or during prolonged fasting or strenuous exercise with severe caloric restriction
While these findings highlight areas of scientific interest, outcomes remain subject to further experimental validation
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