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10.1152/physrev.00018.2018 26 CryanJ

3.2 Dysregulation of vitamin D metabolism in chronic kidney disease In the context of CKD, the regulatory network governing vitamin D metabolism becomes markedly disrupted

Increased ATP could be obtained from glutamine conversion into glutamate, alpha-ketoglutarate and malate which is oxidized yielding additional NADH which fuels electron transport and ATP production