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There is overwhelming evidence that demonstrates that elevated calcium concentration, inflammation, increased oxidative stress, as well as a reduction in blood flow, are some of the pathophysiological mechanisms underlying NIHL (Figure 1

(77) used non-targeted metabolomics to analyze the endogenous metabolites in urine of CIA rats and finally screened out 22 differential metabolites, most of which were related to lipid metabolism

doi: 10.1002/ejlt.202300271

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L-Arginine FAQ: What is L-Arginine

Keeping a symptom journal can also help identify triggers