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As the cells become weaker, they become more vulnerable to damage or apoptosis (cell death) from even small reductions in perfusion, which can occur if the individual becomes dehydrated or overheated, undergoes surgery, has a drop in blood pressure, engages is excess physical activity, has untreated sleep apnea, or experiences a traumatic shock

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[] Patients receiving parenteral glutamine nutrition experience reduced infection rates, immunomodulatory effects, decreased APACHE-II scores, and fewer disease complications such as multiple organ dysfunction syndrome