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1 from baseline in patients receiving L-arginine. In those treated with sildenafil, fetal hemoglobin levels increased. 119. Other reported effects of L-arginine include increased quantity and cytotoxic capability of lymphokine-activated and natural killer T-cells in breast cancer. 120 Specifically, patients with cancer have reduced levels of L-arginine due to the increased production of arginase I, causing a decrease in T-cell proliferation and impaired T-cell function. One study found a reduction in stimulated T-cell proliferation when cultured without L-arginine.

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