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While sulfur burps are not specifically listed as a distinct adverse effect in formal clinical trial data, they represent a plausible manifestation of the medication's known impact on gastric emptying and digestive function

When TMAO levels in the bloodstream are high, there is a reduction in the expression of enzymes and proteins involved in bile acid synthesis and transport, which results in a decrease in the overall bile acid pool size (35)

Albin 2022) Among critically ill patients, the immediate-release formulations are more reliable and rapidly absorbed

This is a relevant approach since corneal injury leads to opacification as a consequence of TGF-induced TRPV1 upregulation followed by increases in keratocyte transdifferentiation into myofibroblasts