This article will help you understand the differences between L-citrulline vs
Moreover, ESRD patients showed increased abundance of Eggerthella lenta , Flavonifractor plautii , Alistipes finegoldii , Alistipes shahii , Ruminococcus , and Fusobacterium , along with decreased abundance of Prevotella copri , Clostridium , and several butyrate-producing bacteria such as Roseburia , Faecalibacterium prausnitzii , and Eubacterium rectale [110]
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This results in activated T cells & B cells that produce an anti-citrulline inflammatory response that affects the joints, resulting in swelling and degradation of both cartilage and bone (Schur & Firestein, 2012) as illustrated in Figures 3, 4 & 5