Mini Review Acetaminophen Toxicity and 5 Oxoproline (Pyroglutamic Acid): A Tale of Two Cycles, One an ATP Depleting Futile Cycle Metabolic Acidosis with a Raised Anion Gap Associated with High 5 An Under Recognised Cause of Iatrogenic, Severe Metabolic Acidosis Irish Medical Journal Recurrent High Anion Gap Metabolic Acidosis Secondary to 5 Oxoproline (Pyroglutamic Acid) American Journal of Kidney Diseases Mini Review Acetaminophen Toxicity and 5 Oxoproline (Pyroglutamic Acid): A Tale of Two Cycles, One an ATP Depleting Futile Cycle A yeast model of 5 oxoproline accumulation reveals a general toleration to 5 oxoproline bioRxiv
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5-oxoproline glutathione Chronic acetaminophen ingestion resulting in severe anion gap metabolic acidosis secondary to 5-oxoproline accumulation: an under diagnosed phenomenon