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While L-Glutamine is widely used for supporting gut barrier function, it presents a complex paradox for patients with severe Mast Cell Activation Syndrome (MCAS) or Histamine Intolerance

While frequent urination is not listed as a direct side effect in FDA prescribing information, some patients report changes in urinary patterns

Diabetes and hypertension cause 75% of casesuncontrolled blood sugar above 180 mg/dL and blood pressure over 140/90 mmHg accelerate kidney damage over years

Use Modifier 59 when appropriate to differentiate the injections