Accumulation of 5 oxoproline in myocardial dysfunction and the protective effects of OPLAH Science Translational Medicine 5 Oxoprolinase an overview ScienceDirect Topics 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 Refractory high anion gap metabolic acidosis due to chronic paracetamol use: a case report Journal of Medical Case Reports Springer Nature Link
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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