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When fish experience stress from poor water quality, overcrowding, or sudden environmental changes, their glutamine reserves can deplete, leading to compromised immune function and gut integrity

The standard maintenance doses are 0.5mg or 1mg weekly, with a 2mg dose available for some patients

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These are average outcomes in controlled settings-individual results vary significantly

1 The main risk is dehydration from side effects, which can temporarily affect kidney function or trigger acute kidney injury if not managed

Some patients may experience alternating constipation and diarrhea, which could create a cycle of irritation and pressure changes in the anorectal region