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10.1002/jor.24119 17 GeZ.TangH.ChenW.WangY.YuanC.TaoX.et al (2020)

2020) found an increase in pregnancy rates

Equally importantly, phosphoenolpyruvate can be derived from glutamine under glucose-limited conditions, and this is sustained by upregulation of mitochondrial phosphoenolpyruvate carboxykinase 167