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Vegans are especially at risk

The high circulating concentration of BCAAs may come from the breakdown of tissue protein that accompanies early-stage disease independent of both BCAT1 and BCAT2 (Mayers et al., 2014)

It also promotes vascular smooth muscle cell growth, has anti-apoptotic effects on macrophages, and promotes vascular inflammation and endothelial damage (109)

Arch Otolaryngol Head Neck Surg 1989

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