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[8] Regulation of acid-base balance in the kidney by producing ammonium [9] Cellular energy, as a source, next to glucose [10] Nitrogen donation for many anabolic processes, including the synthesis of purines [7] Carbon donation, as a source, refilling the citric acid cycle [11] Nontoxic transporter of ammonia in the blood circulation

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Monitoring: Both protocols warrant regular lab work IGF-1 levels (every 36 months), glucose/HbA1c (GH affects insulin sensitivity), and thyroid function