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10.1016/j.jff.2018.07.060 46 ZhaoX.YuZ

Superoxide dismutase is a group of metalloenzymes responsible for dismutating superoxide into hydrogen peroxide in aerobic organisms and playing an essential antioxidant role 67

This can impair the release of other pituitary hormones (see the article on hypopituitarism)

Increased alanine may also be a result of a decrease in pyruvate demand, hypoxia contributing to the shunting of mitochondrial metabolism and the TCA cycle