It notes wide variation: some people report no nausea at all, while others have mild symptoms for several weeks before they clear
BPRS, Brief Psychiatric Rating Scale
The entry of -KG into the TCA cycle is highly regulated: Pyruvate Dehydrogenase Complex (PDC): The conversion of pyruvate to acetyl-CoA is tightly regulated by the PDC complex, which can be inhibited by acetyl-CoA (feedback inhibition) and activated by ADP
A control group of about 300 patients took SGLT-2 inhibitors (e.g., canagliflozin, dapagliflozin, empagliflozin), drugs that are comparable to GLP-1 receptor agonists at lowering blood glucose levels
As the most abundant non-essential amino acid in the blood and muscle, glutamine can provide energy and a precursor for the biosynthesis of nucleotides, amino acids, and lipids (Tong et al., 2009
If so, maybe what you need is a boost of Vitamin B12 via injection