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Molecular Neurobiology, 54 (9)

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Additionally, Table 2 shows a significant negative correlation between the antral length by ultrasound and GI symptoms score in all cases and the group who received KD with L-carnitine supplementation indicating that an increase in antral length was associated with clinical improvement of GI symptoms

It binds and unbinds in a constant exchange, so some free copper ions escape and irritate local nerve endings while activating mast cells (immune cells that release histamine and trigger inflammation)